PHILLIP E MCMANUS (NPI# 1669679312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669679312 |
| Entity Type | Individual |
| Full Name | PHILLIP E MCMANUS |
| Credential | D PH |
| Practice Address |
1425 E Center St Kingsport TN 37664-2501 |
| Practice Telephone | 4232452181 |
| Practice Fax Number | 4232457261 |
| Mailing Telephone | 4232452181 |
| Mailing Fax Number | 4232457261 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2231 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PHARMACIST | 2231 | 01 |
| Street Address |
1425 E CENTER ST |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134203524 | Barbara Lacey Mcmanus | Pharmacist | 1425 E Center St, Kingsport, TN 37664-2501 | 2006-10-24 |
| 1154625986 | Jack Jeffrey Ward | Pharmacist | 1425 E Center St, Kingsport, TN 37664-2501 | 2011-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| 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 |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1598388209 | Zachary Ryan Carland | Pharmacist | 121 E Ravine Rd Ste 100, Kingsport, TN 37660-3834 | 2020-05-28 |
| 1295387710 | Jessica Parker Christian | Pharmacist | 444 Clinchfield St Ste 2100, Kingsport, TN 37660-3858 | 2019-07-15 |
| 1417443110 | Emily Marie Owens | Pharmacist | 105 W Stone Dr # 3a, Kingsport, TN 37660-3365 | 2018-07-05 |
| 1376921205 | Matthew Duke Tumlin | Pharmacist | 2020 Canterbury Rd, Kingsport, TN 37660-5027 | 2015-05-12 |
| 1952794018 | Ashley Patton | Pharmacist | 4001 Grey Fox Dr, Kingsport, TN 37664-4416 | 2015-03-13 |
| 1053704106 | Trey Mcinturff | Pharmacist | 300 Clinchfield St, Kingsport, TN 37660-3855 | 2015-03-13 |
| 1154664589 | Erin Woodard | Pharmacist | 263 Old Island Trl, Kingsport, TN 37664-4275 | 2013-04-04 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1386939619 | Amy Hutchins | Pharmacist | 2626 E Stone Dr Target Pharmacy T-2332, Suite 90, Kingsport, TN 37660-5883 | 2011-06-15 |
| Find all providers in KINGSPORT | ||||
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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.