Johnny Paul is a Pharmacist in Smithville, Tennessee. Johnny Paul practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Johnny Paul is 1023007697. The last update date is 2007-07-08.
Johnny Paul's current location address is P. O. Box 126, Smithville, Tennessee. You can contact this provider via phone number 6155977822 and fax number 6155971112. The mailing address for Johnny Paul is P. O. Box 126, Smithville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Paul |
|---|---|
| Address | P. O. Box 126, Smithville, Tennessee |
| Phone Number | 6155977822 |
| Fax Number | 6155971112 |
| Sole Proprietor | N |
| Credentials | DPH |
NPI Number Detail
| NPI Number | 1023007697 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | P. O. Box 126 |
|---|---|
| City | Smithville |
| State | Tennessee (TN) |
| Post Code | 371661118 |
| Phone Number | 6155977822 |
| Fax Number | 6155971112 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | C006677 |
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Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150553 | TN | BC/BS | |
| 4427313 | TN | NCPDP | |
| 9449808 | TN | -- | |
| 3563964 | TN | TN MEDICAL ASSISTANCE PRO |
Post Comment/ Review Below
What is the unique identifier code issued to Johnny Paul by the Centers for Medicare & Medicaid Services?
The Johnny Paul has been assigned the NPI (National Provider Identifier) 1023007697. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Johnny Paul is geographically located?
The Johnny Paul is physically situated at the following location: P. O. Box 126, Smithville, TN, 371661118.
What is the Johnny Paul's area of specialization and corresponding taxonomy classification?
The Johnny Paul's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did Johnny Paul receive its 1023007697 assignment from the Centers for Medicare & Medicaid Services?
The Johnny Paul was assigned its 1023007697 on 2005-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Johnny Paul's information last updated?
The Johnny Paul's information was last updated on 2007-07-08.