Healthcare Provider Details
I. General information
NPI: 1982937280
Provider Name (Legal Business Name): JOSEPH B ESSARY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/17/2009
Last Update Date: 07/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6909 MAYNARDVILLE PIKE
KNOXVILLE TN
37918-5324
US
IV. Provider business mailing address
6909 MAYNARDVILLE PIKE
KNOXVILLE TN
37918-5324
US
V. Phone/Fax
- Phone: 865-922-7443
- Fax: 865-922-1604
- Phone: 865-922-7443
- Fax: 865-922-1604
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 0000033487 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 0202208362 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: