OrganizationActive
East Tennessee State University
NPI 1154780716 · Clinic Pharmacy · Johnson City, TN
East Tennessee State University is a Clinic Pharmacy organization in Johnson City, TN (NPI 1154780716).
Provider details
- NPI number
- 1154780716
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Collins, Cfo, Vp Finance Admin(423) 439-5884
- License
- 5399 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2151 Century Ln
Johnson City, TN 37604-4469
Phone: (423) 926-2500
Fax: (423) 926-5999
Street-level locationGet directions
Mailing address
Po Box 70403
Johnson City, TN 37614-1703
Other names (DBA / former)
- Doing business as
- Etsu Charitable Pharmacy
Registry dates
- Enumerated
- 2016-02-11
- Last updated
- 2016-02-11
Frequently asked questions
- What is East Tennessee State University's NPI number?
- East Tennessee State University's National Provider Identifier (NPI) is 1154780716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee State University?
- East Tennessee State University is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is East Tennessee State University located?
- East Tennessee State University's practice location on file with NPPES is 2151 Century Ln, Johnson City, TN 37604-4469.
- What is East Tennessee State University's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee State University is (423) 926-2500.
- Who is the authorized official for East Tennessee State University?
- The authorized official listed on East Tennessee State University's NPPES record is David Collins, Cfo, Vp Finance Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee State University's NPI active?
- Yes — East Tennessee State University's NPI (1154780716) is active in the NPPES registry as of the last update on 2016-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.