Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Tennessee State University

Organization Clinic Pharmacy · NPI 1154780716

East Tennessee State University is a Clinic Pharmacy in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016

Practice location Address checks out

2151 Century Ln
Johnson City, TN 37604-4469
Phone: (423) 926-2500
Fax: (423) 926-5999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence 5399 (TN)

Record details

NPI number1154780716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Collins — Cfo, Vp Finance Admin · (423) 439-5884
Other names Etsu Charitable Pharmacy
NPI enumeratedFebruary 11, 2016
Last updated in NPPESFebruary 11, 2016
Mailing addressPo Box 70403, Johnson City, TN 37614-1703