DR. JEREMIAH KOONCE (NPI# 1538662069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538662069 |
| Entity Type | Individual |
| Full Name | DR. JEREMIAH KOONCE |
| Practice Address |
2020 Gunbarrel Rd Chattanooga TN 37421-2679 |
| Practice Telephone | 4238550803 |
| Practice Fax Number | 4238550803 |
| Mailing Telephone | 4238550803 |
| Mailing Fax Number | 4238550803 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 38418 | TN | Pharmacy Service Providers |
| Street Address |
2020 GUNBARREL RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772677 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2020 Gunbarrel Rd, Chattanooga, TN 37421-2679 | 2006-07-16 |
| 1669545448 | Hamilton Village Eye Care | Optometrist | 2020 Gunbarrel Rd, Suite 100 E, Chattanooga, TN 37421-2679 | 2006-11-17 |
| 1538245782 | Wal-mart Stores East, Lp | Technician/Technologist | 2020 Gunbarrel Rd, Chattanooga, TN 37421-2679 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
| 1003311424 | Joshua Cody Sanders | Pharmacist | 3828 Redding Rd, Chattanooga, TN 37415-4123 | 2018-03-27 |
| 1225537145 | Jennifer Rice | Pharmacist | 7806 Laurelton Dr, Chattanooga, TN 37421-1953 | 2018-02-06 |
| 1649792821 | Jacy Tucker Copeland | Pharmacist | 420 W Bell Ave Ste P, Chattanooga, TN 37405-3404 | 2017-07-10 |
| 1649703679 | Matthew Parker | Pharmacist | 5959 Shallowford Rd Ste 107, Chattanooga, TN 37421-2251 | 2017-04-06 |
| 1093247876 | Ashley Ellis | Pharmacist | 3617 Cherokee Ave, Chattanooga, TN 37412-1105 | 2017-03-30 |
| 1932658630 | Lindsey Narramore | Pharmacist | 3901 Hixson Pike, Suite 181, Chattanooga, TN 37415-3567 | 2016-09-23 |
| 1275991820 | Asha Thaliath | Pharmacist | 6851 Shallowford Road, Hamilton Discount Pharmacy, Chattanooga, TN 37421 | 2016-02-10 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1902296064 | Kelly Hawkins | Pharmacist | 3801 Tennessee Ave, Chattanooga, TN 37409 | 2015-01-28 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on DR. JEREMIAH KOONCE.
| 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.