Active NPI
Elizabeth Leigh Dierkes, PHARMD
- Pharmacist
- Knoxville, TN
National Provider Identifier
1154721058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44655
- Practice address
- 1924 Alcoa Hwy
Knoxville, TN 37920-1511 - Phone
- (865) 305-9000
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051297785 | IL | |
| Pharmacist | 183500000X | 44655 | TN | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Mailing address
8201 Carolina Way Apt 1138
Knoxville, TN 37923-3133
Phone (309) 838-4650
Other practice location 1
5000 W National Ave
Milwaukee, WI 53295-0001
Phone (414) 384-2000 ext. 41196
Other names 1
- Elizabeth Leigh Geison
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051297785 | IL | MD | Pharmacist |
| 44655 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1154721058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 CAROLINA WAY APT 1138",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233133",
"telephone_number": "309-838-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9000"
}
],
"practiceLocations": [
{
"address_1": "5000 W National Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532950001",
"country_code": "US",
"telephone_number": "414-384-2000 x41196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIERKES",
"first_name": "ELIZABETH",
"middle_name": "LEIGH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051297785",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "GEISON",
"middle_name": "LEIGH",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.