Provider Demographics
NPI:1457243396
Name:RASNICK, WILLIAM MACHENZIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MACHENZIE
Last Name:RASNICK
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 1:499 TWIN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-7612
Mailing Address - Country:US
Mailing Address - Phone:276-477-9795
Mailing Address - Fax:
Practice Address - Street 1:208 SUNCREST ST UNIT 1
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:TN
Practice Address - Zip Code:37615-3494
Practice Address - Country:US
Practice Address - Phone:423-477-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRASN-JD78P6183500000X
TN48831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist