DR. CARMEN MICHELLE MEADOWS (NPI# 1639786486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639786486 |
| Entity Type | Individual |
| Full Name | DR. CARMEN MICHELLE MEADOWS |
| Credential | PHARMD |
| Practice Address |
809 Lamont St Johnson City TN 37604-5453 |
| Mailing Address |
24648 Mock Knob Rd Abingdon VA 24211-5608 |
| Practice Telephone | 4239261171 |
| Mailing Telephone | 8043142658 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202207085 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790063287 | Carmen A Meadows | Chiropractor | 3750 Palladian Village Dr, Suite 330, Marietta, GA 30066-8200 | 2011-08-01 |
| Street Address |
809 LAMONT ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403330 | Michele Garcia | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-10-08 |
| 1124632831 | Mary Helen Fuqua | Recreation Therapist | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-09-01 |
| 1982215430 | Isaac Matthew Shepard Weaver | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-08-10 |
| 1861012627 | Amanda Shankel | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-04-22 |
| 1689206427 | Rachel Leann Stout-cunnyngham | Nurse Practitioner | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-02-10 |
| 1134772007 | Jacqueline Nicole Mccartt | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-07-19 |
| 1457911539 | Rebecca Holt | Pharmacist | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-06-19 |
| 1891256897 | Anshuman Desai | Student in an Organized Health Care Education/Training Program | 809 Lamont St, Department of Medicine, Johnson City, TN 37604 | 2019-03-31 |
| 1851851869 | Scott Gerwe | Student in an Organized Health Care Education/Training Program | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-03-25 |
| 1982176483 | Samantha D Clark | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902119365 | Ketrin Hill Mount | Pharmacist | 300 Silver Oak Dr, Johnson City, TN 37615-7705 | 2010-07-14 |
| 1134608672 | Jacob David Lines | Pharmacist | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2018-08-07 |
| 1114347424 | Linette A Beers | Pharmacist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2014-04-25 |
| 1528339710 | Brent Carlson | Pharmacist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2012-01-19 |
| 1992075022 | Rola Mousa Franks | Pharmacist | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2012-01-05 |
| 1437390317 | Emily Kelley Flores | Pharmacist | 917 W Walnut St, Johnson City, TN 37604-6527 | 2009-03-23 |
| 1417122623 | Lynne Marie Lee | Pharmacist | 33-57 Harrison St, Department of Pharmacy, Johnson City, NY 13790-2107 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1841822640 | Vip Pet Meds Inc | Pharmacist | 14675 Highway 194, Oakland, TN 38060-4133 | 2020-02-10 |
| 1669019188 | Corey D Grimshaw | Pharmacist | Tucker Pharmacy, 2415 Fairview Blvd, Fairview, TN 37062-3706 | 2019-12-03 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1265929863 | Felicia Sells | Pharmacist | 2629 Decherd Blvd, Winchester, TN 37398-1166 | 2018-04-18 |
| 1588172449 | Tarmeshia Marable | Pharmacist | 2021 25th Ave N, Nashville, TN 37208-1305 | 2018-01-12 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1205358074 | Erica Brooke Schlesinger | Pharmacist | 500 Deaderick St, Nashville, TN 37243-0001 | 2017-07-12 |
| 1851823173 | Scott Denno | Pharmacist | 1406 Derby Trce, Nashville, TN 37211-7344 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.