MEDICARE: VIVIAN OZARAGA EBEO RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	17648	TN

General Provider Information

NPI Number	:	1255936555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN OZARAGA EBEO RPH

Provider Business Mailing Address
First Line	:	120 CHESTNUT RIDGE DR
Second Line	:
City	:	JONESBOROUGH
State	:	TN
Zip	:	37659-7456
Country	:	US
Telephone Number	:	423-753-5240
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 S ROAN ST STE 100
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-7675
Country	:	US
Telephone Number	:	423-979-0373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2020
Last Update Date	:	12/03/2020

Similar Medicare Providers

1053338418 — K -VA -T FOOD STORES INC
Practice Location Address:

2120 S ROAN ST
JOHNSON CITY, TN
37601-7675

Practice Phone: 423-979-0373
Practice Fax: 423-979-0372

1477946432 — MARK HODGES PHARM.D.
Practice Location Address:

2120 S ROAN ST STE 100
JOHNSON CITY, TN
37601-7675

Practice Phone: 423-979-0370
Practice Fax: 423-979-0372

1750018099 — MATTHEW BLAKE LAWSON PHARMD
Practice Location Address:

2120 S ROAN ST
JOHNSON CITY, TN
37601-7675

Practice Phone: 423-979-0373
Practice Fax:

1841977956 — FELLOWSHIP PHYSICAL THERAPY LLC
Practice Location Address:

2120 S ROAN ST STE 105
JOHNSON CITY, TN
37601-7675

Practice Phone: 423-788-4636
Practice Fax: 423-558-0011

1124707708 — VERONICA BLANKENSHIP PHARMD
Practice Location Address:

2120 S ROAN ST
JOHNSON CITY, TN
37601-7675

Practice Phone: 423-979-0373
Practice Fax:

1326012873 — MOBILE HEALTH CARE, INC
Practice Location Address:

4511 N JOHNSON RD
MICHIGAN CITY, IN
46360-7675

Practice Phone: 219-872-7799
Practice Fax: 219-872-8060

Directions to “ VIVIAN OZARAGA EBEO RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.