NPIMap

Tennessee Oncology, PLLC

Organization Active NPI Community/Retail Pharmacy · Johnson City, TN

NPI 1922814730 · NPPES record last updated Nov 6, 2025

Key facts

NPI
1922814730
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
TENNESSEE ONCOLOGY, PLLC
Practice address
378 Marketplace Blvd Ste 6
Johnson City, TN 37604-2361
Phone
(423) 568-8320
Fax
(423) 218-2848
NPI assigned
Dec 6, 2024
Organization subpart
No

Authorized official

Name
Ron Horowitz
Title
Cfo
Phone
(615) 986-4102

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 355

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 355

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Park Pharmacy #2
378 Marketplace Blvd, Johnson City, TN 37604-2361 · (423) 568-8320		 Oral Anticancer Drugs Accepts assignment
Participating since Jan 1, 2015

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250430000773 TN DME Supplier - Pharmacy 4688586134 Practice locations: Johnson City, TN

National Provider Directory

Tax ID family
Tennessee Oncology PLLC (77 organizations share this tax ID)

Locations

378 Marketplace Blvd
Ste 6
Johnson City, TN 37604
Phone (423) 568-8320

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

378 Marketplace Blvd Ste 6
Johnson City, TN 37604-2361

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 986-7650

Other identifiers

IdentifierTypeStateIssuer
Q098983MedicaidTN

Other names

  • Park Pharmacy #2 Doing business as

Other providers in Johnson City, TN

All providers in Johnson City, TN · Community/Retail Pharmacy in Tennessee

Sources for this page

Verify at the official NPI Registry.