JOHN SMITH PROFESSIONAL PHARMACY, INC. (NPI# 1669412144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669412144 |
| Entity Type | Organization |
| Organization Name | JOHN SMITH PROFESSIONAL PHARMACY, INC. |
| Practice Address |
100 Lantana Rd Ste. 201 Crossville TN 38555-1903 |
| Practice Telephone | 9314841434 |
| Practice Fax Number | 9314562853 |
| Mailing Telephone | 9314841434 |
| Mailing Fax Number | 9314562853 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VICKI S UPCHURCH (PHARMACIST/OWNER) |
| Authorized Official Telephone | 9314841434 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
60 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3513437 | 05 | |
| TN | NABP | 4405797 | 01 |
| Street Address |
100 LANTANA RD STE. 201 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336500834 | Dale Cuva | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-03-10 |
| 1174981757 | Christopher Rourke | Physician Assistant | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-02-10 |
| 1275903585 | Joy Henry | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-29 |
| 1598134058 | Dawn Oneal | Registered Nurse | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-15 |
| 1083090682 | Brittany Hill Slatton | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-08-05 |
| 1972856409 | Sandra J Monday | Physician Assistant | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2012-10-22 |
| 1770805327 | Roy Mcclanahan | Pharmacist | 100 Lantana Rd, Crossville, TN 38555-1915 | 2010-02-24 |
| 1366695363 | Andrew Thomas Szaflarski | Obstetrics & Gynecology | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2008-11-04 |
| 1770613424 | Vicki S Upchurch | Pharmacist | 100 Lantana Rd, Ste. 201, Crossville, TN 38555-1915 | 2007-03-06 |
| 1104971308 | Tamara Jean Collins | Internal Medicine | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.