IndividualActive
Jackson Hetzler, PHARMD
NPI 1336813427 · Pharmacist · Johnson City, TN
Jackson Hetzler, PHARMD is a Pharmacist provider in Johnson City, TN (NPI 1336813427).
Provider details
- NPI number
- 1336813427
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 30490 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Lamont Street & Veterans Way
Johnson City, TN 37604-3760
Phone: (423) 926-1171
Approximate (ZIP-level) locationGet directions
Mailing address
258 Mockingbird Lane
Johnson City, TN 37604
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2021-08-03
- Certified
- 2021-07-08
Frequently asked questions
- What is Jackson Hetzler's NPI number?
- Jackson Hetzler's National Provider Identifier (NPI) is 1336813427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Hetzler's specialty?
- Jackson Hetzler is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jackson Hetzler located?
- Jackson Hetzler's practice location on file with NPPES is Lamont Street & Veterans Way, Johnson City, TN 37604-3760.
- What is Jackson Hetzler's phone number?
- The practice phone number listed in the NPPES registry for Jackson Hetzler is (423) 926-1171.
- Is Jackson Hetzler's NPI active?
- Yes — Jackson Hetzler's NPI (1336813427) is active in the NPPES registry as of the last update on 2021-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.