Individual provider Active NPI

Telisha Nichole Ashford, PHARM D

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1134599582
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11001 Issued in TN
Practice address
3620 Preston LN
Knoxville, TN 37921-7500
Phone
(817) 690-0085
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11001 TN Primary
Pharmacist 183500000X 41336 TX
Pharmacist 183500000X 0202204863 VA

Addresses

Primary practice location

3620 Preston LN
Knoxville, TN 37921-7500

Mailing address

3620 Preston LN
Knoxville, TN 37921-7500
Phone (817) 690-0085

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
41336TXMDPharmacist
0202204863VAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1134599582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 PRESTON LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379217500",
            "telephone_number": "817-690-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 PRESTON LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379217500",
            "telephone_number": "817-690-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHFORD",
        "first_name": "TELISHA",
        "middle_name": "NICHOLE",
        "name_prefix": "Miss",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11001",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41336",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.