1487901724 NPI number — JOHN TANNER RINGLEY PHARM. D.

Table of content: JOHN TANNER RINGLEY PHARM. D. (NPI 1487901724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487901724 NPI number — JOHN TANNER RINGLEY PHARM. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINGLEY
Provider First Name:
JOHN
Provider Middle Name:
TANNER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARM. D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487901724
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4420 LAKE BOONE TRL
Provider Second Line Business Mailing Address:
PHARMACY DEPARTMENT
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27607-7505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-784-3039
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 EAST GROVER ST.
Provider Second Line Business Practice Location Address:
LEVINE CANCER INSTITUTE
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-487-2642
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  22570 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)