NPIMap

Organization Active NPI

NHC Healthcare-Johnson City LLC

Doing business as NHC Health Center Pharmacy

  • Long Term Care Pharmacy
  • Johnson City, TN
National Provider Identifier
1952477598
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
239 Issued in TN
Legal business name
NHC HEALTHCARE-JOHNSON CITY LLC
Doing business as
NHC Health Center Pharmacy
Practice address
3209 Bristol Hwy
Johnson City, TN 37601-1515
Phone
(423) 282-3311
Fax
(423) 282-5245
NPI assigned
Nov 27, 2006
Last updated
Aug 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Souder, RPH
Title
Dir of PHRM
Phone
(423) 282-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 239 TN Primary

Addresses

Primary practice location

3209 Bristol Hwy
Johnson City, TN 37601-1515

Mailing address

PO Box 4777
Johnson City, TN 37602-4777
Phone (423) 282-3311

Other identifiers 2

IdentifierTypeStateIssuer
9448407MedicaidTN
2088835OtherPK

Other names 1

  • NHC HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NHC Health Center Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1952477598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4777",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024777",
            "telephone_number": "423-282-3311",
            "fax_number": "423-282-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 BRISTOL HWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011515",
            "telephone_number": "423-282-3311",
            "fax_number": "423-282-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHC HEALTHCARE-JOHNSON CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SOUDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIR OF PHRM",
        "authorized_official_telephone_number": "423-282-3311",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9448407",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHC HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.