Provider Demographics
NPI:1861576233
Name:FIRST PHARMACY MANAGEMENT
Entity type:Organization
Organization Name:FIRST PHARMACY MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOYLE
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:865-588-0404
Mailing Address - Street 1:320 NANCY LYNN LN STE 3
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6055
Mailing Address - Country:US
Mailing Address - Phone:865-588-0404
Mailing Address - Fax:865-588-0190
Practice Address - Street 1:320 NANCY LYNN LN STE 3
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6055
Practice Address - Country:US
Practice Address - Phone:865-588-0404
Practice Address - Fax:865-588-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN016003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4423593OtherNCPDP
TN9448978Medicaid