Kara Debord, PHARMD
Individual provider Active NPI Pharmacist · East Ridge, TN
NPI 1083996201 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1083996201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35113 (TN)
- Practice address
- 5301 Ringgold Rd
East Ridge, TN 37412-3125 - Phone
- (423) 892-9559
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35113 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35113 | TN | Yes |
Addresses
Primary practice location
5301 Ringgold Rd
East Ridge, TN 37412-3125
Mailing address
730 Elinor St
Chattanooga, TN 37405-2824
Phone (423) 902-0515
Other providers in East Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.