Active NPI
Julie Bohannon, PHARMD
- Pharmacist
- Ooltewah, TN
National Provider Identifier
1992191357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9631
- Practice address
- 5032 Ooltewah Ringgold Rd
Suite 100
Ooltewah, TN 37363-7091 - Phone
- (423) 396-6963
- Fax
- (423) 396-6947
- NPI assigned
- Apr 13, 2015
- Last updated
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9631 | TN | Primary |
Addresses
Primary practice location
5032 Ooltewah Ringgold Rd
Suite 100
Ooltewah, TN 37363-7091
Mailing address
5032 Ooltewah Ringgold Rd
Suite 100
Ooltewah, TN 37363-7091
Phone (423) 396-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9631 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1992191357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5032 OOLTEWAH RINGGOLD RD",
"address_2": "SUITE 100",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637091",
"telephone_number": "423-396-6963",
"fax_number": "423-396-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5032 OOLTEWAH RINGGOLD RD",
"address_2": "SUITE 100",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637091",
"telephone_number": "423-396-6963",
"fax_number": "423-396-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHANNON",
"first_name": "JULIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.