JAVAN CROCKETT (NPI# 1376019430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376019430 |
| Entity Type | Individual |
| Full Name | JAVAN CROCKETT |
| Practice Address |
1757 W Andrew Johnson Hwy Morristown TN 37814-3736 |
| Practice Telephone | 4232546604 |
| Practice Fax Number | 4232546603 |
| Mailing Telephone | 4232546604 |
| Mailing Fax Number | 4232546603 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36606 | TN | Pharmacy Service Providers |
| Street Address |
1757 W ANDREW JOHNSON HWY |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427415876 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1757 W Andrew Johnson Hwy, Morristown, TN 37814-3736 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| 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 |
|---|---|---|---|---|
| 1134587983 | Sonia Soin | Pharmacist | 7 Hamilton Rd Apt 2n, Morristown, NJ 07960-5346 | 2016-02-08 |
| 1245613512 | Chad Barclay Huntsman | Pharmacist | 2106 E Aj Hwy, Morristown, TN 37814-5412 | 2015-07-06 |
| 1457747461 | Jennifer Reed | Pharmacist | 1997 Buffalo Trail, Morristown, TN 37814 | 2015-04-07 |
| 1134513914 | Freda Seals Gray | Pharmacist | 4100 Cool Springs Rd, Morristown, TN 37814 | 2015-03-19 |
| 1972996015 | Gregory Neilson | Pharmacist | 2310 Sandstone Dr, Unit 100, Morristown, TN 37814-2588 | 2015-03-13 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1770853434 | Allison Upalawanna | Pharmacist | 21 Max Dr, Apt-4b, Morristown, NJ 07960-3043 | 2012-01-11 |
| 1629347430 | Alluri V Raju | Pharmacist | 76 Morris Street, Molnar Pharmacy, Morristown, NJ 07960 | 2011-12-22 |
| 1740563808 | David Ryan Kragel | Pharmacist | 228 N Fairmont Ave, Morristown, TN 37814-3768 | 2011-09-26 |
| 1164700589 | Brittney Sherree Wilder | Pharmacist | 2114 E Andrew Johnson Hwy, Morristown, TN 37814-5412 | 2011-08-02 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
Please comment or provide details below to improve the information on JAVAN CROCKETT.
| 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.