David Carl Dew, R.P.H.
Individual provider Active NPI Pharmacist · Lake City, TN
NPI 1154417996 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154417996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3792 (TN)
- Practice address
- 414 S. Main Street
Lake City, TN 37769 - Phone
- (865) 426-2851
- Fax
- (865) 426-9446
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3792 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corner Drug Co Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3792 | TN | Yes |
Addresses
Primary practice location
414 S. Main Street
Lake City, TN 37769
Mailing address
PO Box 455
Lake City, TN 37769-0455
Phone (865) 426-6495
Other providers in Lake City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.