Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255936555 Individual Practitioner Female Practitioner

Vivian Ozaraga Ebeo , RPH

Pharmacist • Johnson City, TN

Professional Overview & Biography Verified Profile Summary

Vivian Ebeo, RPH is a registered healthcare professional specializing in Pharmacist in Johnson City, TN. Practice services are available at 2120 S ROAN ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2120 S Roan St Ste 100

Johnson City, TN 376017675

Telephone 4239790373
Associated Practice Facility / Clinic
🏢 K -Va -T Food Stores Inc Facility NPI 1053338418

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Johnson City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
232 Specialists

Practicing in Johnson City, TN (7476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TN 17648

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1124707708

Doctor of Pharmacy (Pharm.D.)

NPI 1750018099

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2020

Registered at 2120 S ROAN ST STE 100, JOHNSON CITY, TN 376017675 (Tel: 4239790373)

📍
Updated Business Mailing Address December 03, 2020

Registered at 120 CHESTNUT RIDGE DR, JONESBOROUGH, TN 376597456 (Tel: 4237535240)

👤
Provider Name / Credentials Updated December 03, 2020

Recorded as VIVIAN EBEO, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2020

Pharmacist (License #17648 in TN)

🟢
Initial NPI Registration & Enumeration December 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255936555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2020
Last Update: December 03, 2020
Sole Proprietor: No

Mailing Address

120 Chestnut Ridge Dr

Jonesborough, TN 376597456

Phone: 4237535240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.