JOHN MANCELL (NPI# 1356893044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356893044 |
| Entity Type | Individual |
| Full Name | JOHN MANCELL |
| Credential | PHARM D |
| Practice Address |
650 Carl Perkins Pkwy Tiptonville TN 38079 |
| Mailing Address |
650 Carl Perkins Pkwy Tiptonville TN 38079-1678 |
| Practice Telephone | 7312530153 |
| Practice Fax Number | 7312530143 |
| Mailing Telephone | 7312530153 |
| Mailing Fax Number | 7312530143 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33096 | TN | Pharmacy Service Providers |
| Street Address |
650 CARL PERKINS PKWY |
| City | TIPTONVILLE |
| State | TN |
| Zip Code | 38079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583747 | Tiptonville Family Pharmacy | Pharmacy | 650 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982048757 | Astin Berry | Physical Therapy Assistant | 3195 Cates Landing Rd N, Tiptonville, TN 38079 | 2013-04-24 |
| 1821383670 | Roberson Rike Clinic | Nurse Practitioner | 768 Everett St., Tiptonville, TN 38079 | 2011-06-09 |
| 1366648735 | Amanda Collins | Physician Assistant | Northwest Corrections, Tiptonville, TN 38079 | 2007-06-22 |
| 1710011994 | Sandra Lynnette Smith | Registered Nurse | 400 Hwy 78 S, Tiptonville, TN 38079 | 2007-03-16 |
| 1871643031 | State of Tennessee | Public Health or Welfare | 400 Hwy 78 South, Tiptonville, TN 38079 | 2007-01-11 |
| 1508807736 | Daniel W. Bruce | Legal Medicine | 708 Everett St, Tiptonville, TN 38079 | 2006-06-09 |
| 1841311529 | Citizens of Lake County for Health Care Inc | Clinic/Center | 710 Carl Perkins Pkwy, Tiptonville, TN 38079 | 2007-04-02 |
| 1770012676 | Main Street Family Care Pllc | Clinic/Center | 211 Church St, Tiptonville, TN 38079-1109 | 2017-06-06 |
| 1689914632 | Kerri A Ervin | Nurse Practitioner | 211 Church St, Tiptonville, TN 38079-1109 | 2013-02-27 |
| 1366614588 | Blue Ribbon Dental Center LLC | Health Maintenance Organization | 211 Church St, Tiptonville, TN 38079-1109 | 2008-03-27 |
| Find all providers in zip 38079 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699084673 | Erle Ridley Mulherin IIi | Pharmacist | 730 Everett St, Tiptonville, TN 38079-1608 | 2010-09-24 |
| 1922057637 | J.c. Williams | Pharmacist | 139 Church St, Tiptonville, TN 38079-1374 | 2006-05-09 |
| 1629015623 | Charlotte Corkran Adcock | Pharmacist | 139 Church St, Tiptonville, TN 38079-1374 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1407453756 | Cameron Davidson | Pharmacist | 1037 Livingstone Ln, Mount Juliet, TN 37122-0605 | 2020-10-08 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1023623279 | Jansje M Hoppe-roberts | Pharmacist | 2539 Brachton Ave, Germantown, TN 38139-6409 | 2020-09-14 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1477167500 | Alysa Alexandria Ness | Pharmacist | 105 Woodyside Dr, Hendersonville, TN 37075-4445 | 2020-09-05 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | TIPTONVILLE |
| Zip Code | 38079 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.