Jason B Swallows, PHARMD
Individual provider Active NPI Pharmacist · Cleveland, TN
NPI 1982994166 · NPPES record last updated Apr 8, 2011
Key facts
- NPI
- 1982994166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10420 (TN)
- Practice address
- 578 Paul Huff Pkwy NW
Cleveland, TN 37312-2957 - Phone
- (423) 476-7116
- Fax
- (423) 476-9244
- NPI assigned
- Apr 8, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10420 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Pharmacy LLC | Current | Accepting new patients | |
| Pharmco | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10420 | TN | Yes |
Addresses
Primary practice location
578 Paul Huff Pkwy NW
Cleveland, TN 37312-2957
Mailing address
578 Paul Huff Pkwy NW
Cleveland, TN 37312-2957
Phone (423) 476-7116
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.