NPIMap

Julie Childers, PHARMD

Individual provider Active NPI Pharmacist · Savannah, TN

NPI 1013358993 · NPPES record last updated Dec 15, 2019

Key facts

NPI
1013358993
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0000037654 (TN)
Practice address
775 Pickwick St
Savannah, TN 38372-3053
Phone
(731) 925-6200
Fax
(731) 925-1793
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0000037654TNMDPharmacist
17080ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past
since Dec 22, 2019		 Accepting new patients
Kroger Limited Partnership I Past
since Dec 22, 2019		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17080 AL
Pharmacist 183500000X 0000037654 TN Yes

Addresses

Primary practice location

775 Pickwick St
Savannah, TN 38372-3053

Mailing address

2602 Florence Blvd
Florence, AL 35630-2864
Phone (256) 764-0436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 15, 2019.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1013358993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 FLORENCE BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302864",
            "telephone_number": "256-764-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PICKWICK ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723053",
            "telephone_number": "731-925-6200",
            "fax_number": "731-925-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17080",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000037654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

All providers in Savannah, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.