Elaine K Burns, D.PH
Individual provider Active NPI Pharmacist · Apison, TN
NPI 1164555298 · NPPES record last updated Feb 9, 2010
Key facts
- NPI
- 1164555298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33415 (TN)
- Practice address
- 2962 Skipping Stone Dr
Apison, TN 37302-7543 - Phone
- (423) 236-4660
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025181 | GA | MD | Pharmacist |
| 5302024728 | MI | MD | Pharmacist |
| 33415 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302024728 | MI | |
| Pharmacist | 183500000X | 33415 | TN | Yes |
| Pharmacist | 183500000X | RPH025181 | GA |
Addresses
Primary practice location
2962 Skipping Stone Dr
Apison, TN 37302-7543
Mailing address
2962 Skipping Stone Dr
Apison, TN 37302-7543
Phone (423) 236-4660
Other providers in Apison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2010. 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.