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PRINCETON DRUG
NPI 1912900663
Pharmacy in Johnson City, TN

Active since May 24, 2005
105 BROYLES DR, JOHNSON CITY, TN 37601(423) 282-1178(423) 282-0462 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princeton Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCETON DRUG (NPI 1912900663) is a healthcare organization registered as a pharmacy in Johnson City, Tennessee and active in the NPI registry since May 2005. The organization lists Mark A Reed, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1912900663
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePRINCETON DRUG
Location Address105 BROYLES DRJohnson City, TN 37601-2542
Mailing Address105 Broyles DrJohnson City, TN 37601-2542 · (423) 282-1178 · Fax (423) 282-0462
Phone(423) 282-1178
Fax(423) 282-0462
Organization SubpartNo
Authorized OfficialMark A ReedPharmacist · (423) 282-1178
Enumeration DateMay 24, 2005
Last NPPES UpdateNovember 13, 2015
✔ NPI 1912900663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TN · 1751
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
105 BROYLES DR, Johnson City, TN 37601
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Other Identifiers 1

Medicare NSC0167780001TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGG H.D. KESTERSON MD
Internal Medicine (Addiction Medicine)
105 BROYLES DR, SUITE B
JOHNSON CITY, TN 37601
Washington County (423) 722-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Princeton Drug's NPI number?

The NPI number for Princeton Drug is 1912900663. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Princeton Drug located?

Princeton Drug is located at 105 Broyles Dr, Johnson City, TN 37601. The listed phone number is (423) 282-1178.

What is Princeton Drug's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Princeton Drug was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.