Provider Demographics
NPI:1962674051
Name:JONES, GREGORY KIRK (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:KIRK
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 CORALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-2933
Mailing Address - Country:US
Mailing Address - Phone:423-239-0320
Mailing Address - Fax:
Practice Address - Street 1:434 CORALWOOD DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-2933
Practice Address - Country:US
Practice Address - Phone:423-239-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist