ARISSA BROOKE VAUGHN (NPI# 1518307917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518307917 |
| Entity Type | Individual |
| Full Name | ARISSA BROOKE VAUGHN |
| Credential | PHARMD |
| Practice Address |
5104 Bobby Hicks Hwy Gray TN 37615-6217 |
| Practice Telephone | 4234773372 |
| Mailing Telephone | 4234773372 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37520 | TN | Pharmacy Service Providers |
| Street Address |
5104 BOBBY HICKS HWY |
| City | GRAY |
| State | TN |
| Zip Code | 37615-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003002254 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5104 Bobby Hicks Hwy, Gray, TN 37615-6217 | 2007-09-21 |
| 1770923443 | Abigail Brown | Pharmacist | 5104 Bobby Hicks Hwy, Gray, TN 37615-6217 | 2013-06-26 |
| 1528379252 | Billie Reilly | Pharmacist | 5104 Bobby Hicks Hwy, Gray, TN 37615-6217 | 2010-06-28 |
| 1255642005 | Laura C Dinisio | Pharmacist | 5104 Bobby Hicks Hwy, Gray, TN 37615-6217 | 2010-06-27 |
| 1497066609 | Mandy Dishner | Pharmacist | 5104 Bobby Hicks Hwy, Gray, TN 37615-6217 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| 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 |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1609125566 | Britany Keyon Jackson | Pharmacist | 309 Linda Ann Ave, Gray, LA 70359-3316 | 2012-09-06 |
| 1609168202 | John Tyson Huff | Pharmacist | 5034 Bobby Hicks Hwy, Gray, TN 37615-6207 | 2011-05-14 |
| 1356574941 | Shady Aly Ismail Elattar | Pharmacist | 62 W Gray Rd, Gray, ME 04039-9772 | 2009-08-28 |
| 1750515011 | Andrew L Barrett | Pharmacist | 611 West Clinton Street, Gray, GA 31032-0746 | 2009-05-14 |
| 1992973242 | Patrick Ramsay Gilbert | Pharmacist | 236 West Clinton Street, Medicap Pharmacy, Gray, GA 31032-1388 | 2008-02-20 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1780717223 | Loray Thomas Childs | Pharmacist | 126 W Clinton St, Gray, GA 31032-5322 | 2007-03-13 |
| 1629112248 | Stephen Clayton Mcpike | Pharmacist | 15 Wildwood Ln, Gray, ME 04039-9632 | 2007-02-16 |
| Find all providers in GRAY | ||||
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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.