MRS. JESSICA BROYLES (NPI# 1669726261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669726261 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BROYLES |
| Practice Address |
1355 Tusculum Blvd Greeneville TN 37745-4249 |
| Practice Telephone | 4236361344 |
| Practice Fax Number | 4236368951 |
| Mailing Telephone | 4236361344 |
| Mailing Fax Number | 4236368951 |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2012-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0000029427 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
| 1578754552 | Jessica Lynn Broyles | Massage Therapist | 2929 Nw 13th St, Gainesville, FL 32609-2831 | 2007-08-06 |
| Street Address |
1355 TUSCULUM BLVD |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922172055 | Charles Thomas Birdwell | Pharmacist | 1355 Tusculum Blvd, Greeneville, TN 37745 | 2006-11-20 |
| 1710400643 | Moses Halcon Holleyman | Pharmacist | 1355 Tusculum Blvd, Greeneville, TN 37745-4249 | 2017-07-23 |
| 1902259005 | Kristin Brianna Lester | Pharmacist | 1355 Tusculum Blvd, Greeneville, TN 37745-4249 | 2016-07-13 |
| 1215968219 | K Mart Corp | Pharmacy | 1355 Tusculum Blvd, Greeneville, TN 37745-4249 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| 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 |
|---|---|---|---|---|
| 1841815248 | Sidney Fail Lopez | Pharmacist | 506 Asheville Hwy, Greeneville, TN 37743-4634 | 2020-06-11 |
| 1992149579 | John Miles | Pharmacist | 2845 E Andrew Johnson Hwy, Greeneville, TN 37745-0957 | 2013-04-25 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1194036806 | Judi L Beard | Pharmacist | 1305 Tusculum Blvd, Suite 2, Greeneville, TN 37745-4160 | 2010-06-28 |
| 1376779975 | Shelly Joy Lewis | Pharmacist | 1402 Tusculum Blvd, Greeneville, TN 37745-4279 | 2009-06-09 |
| 1528229564 | William Giddings | Pharmacist | 511 Asheville Hwy, Greeneville, TN 37743-4669 | 2008-06-23 |
| 1265646038 | City Pharmacy Inc | Pharmacist | 113 E Church St, Greeneville, TN 37745-5603 | 2007-05-10 |
| 1598977001 | Rick Eugene Ealy | Pharmacist | 1420 Tusculum Blvd., Laughlin Memorial Hospital Pharmacy, Greeneville, TN 37745 | 2007-05-04 |
| 1760603617 | Elizabeth Sue Ealy | Pharmacist | 905 Snapps Ferry Road, Food City Pharmacy #606, Greeneville, TN 37745 | 2007-05-01 |
| 1922172055 | Charles Thomas Birdwell | Pharmacist | 1355 Tusculum Blvd, Greeneville, TN 37745 | 2006-11-20 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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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.