Provider Demographics
NPI:1053376319
Name:NOWELL, JOSEPH MOSELEY JR (PHARM D, FACA, FACVP)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MOSELEY
Last Name:NOWELL
Suffix:JR
Gender:M
Credentials:PHARM D, FACA, FACVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 1036
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-1036
Mailing Address - Country:US
Mailing Address - Phone:865-988-0000
Mailing Address - Fax:865-986-1542
Practice Address - Street 1:721 HIGHWAY 321 N SUITE 2
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-5003
Practice Address - Country:US
Practice Address - Phone:865-988-0000
Practice Address - Fax:865-986-1542
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000009583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4363100001Medicare ID - Type UnspecifiedPRESCRIPTION SPECIALTIES