Provider Demographics
NPI:1033591409
Name:HUGHES, JONATHAN CORWIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:CORWIN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2494
Mailing Address - Country:US
Mailing Address - Phone:615-396-6482
Mailing Address - Fax:615-225-2369
Practice Address - Street 1:1020 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2494
Practice Address - Country:US
Practice Address - Phone:615-396-6482
Practice Address - Fax:615-225-2369
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN408411835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ034429Medicaid