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MOUNTAIN STATES MEDICAL GROUP
NPI 1952770067
Pharmacist - Pharmacotherapy in Elizabethton, TN

Active since September 18, 2015
1497 W ELK AVE STE 21, ELIZABETHTON, TN 37643(423) 542-7420 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain States Medical Group NPPES

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

MOUNTAIN STATES MEDICAL GROUP (NPI 1952770067) is a healthcare organization registered as a pharmacotherapy in Elizabethton, Tennessee and active in the NPI registry since September 2015. The organization lists Brooklyn Nelson, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1952770067
Entity TypeOrganization
Primary Taxonomy1835P1200X
Legal Business NameMOUNTAIN STATES MEDICAL GROUP
Location Address1497 W ELK AVE STE 21Elizabethton, TN 37643-2896
Mailing Address1497 W Elk Ave Ste 21Elizabethton, TN 37643-2896
Phone(423) 542-7420
Organization SubpartNo
Authorized OfficialBrooklyn NelsonPharmacist · (423) 542-7479
Enumeration DateSeptember 18, 2015
✔ NPI 1952770067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in TN · 38635
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
1497 W ELK AVE STE 21, Elizabethton, TN 37643
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Other Identifiers 1

Other1982036927NC · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

LISAMARIE GRACE LEVASSEUR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1497 W ELK AVE STE 21
ELIZABETHTON, TN 37643
Carter County (423) 542-7420
MISS JESSICA LINIECE STORER FNP-C, PMHNP-BC
Nurse Practitioner (Family)
1497 W ELK AVE STE 21
ELIZABETHTON, TN 37643
Carter County (423) 542-7420

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 Mountain States Medical Group's NPI number?

The NPI number for Mountain States Medical Group is 1952770067. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Mountain States Medical Group located?

Mountain States Medical Group is located at 1497 W Elk Ave Ste 21, Elizabethton, TN 37643. The listed phone number is (423) 542-7420.

What is Mountain States Medical Group's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Mountain States Medical Group was last updated on September 18, 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.