Active NPI
Elizabeth Goodwin Cleaves, PHARM.D
- Pharmacist
- Memphis, TN
National Provider Identifier
1194378570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43510
- Practice address
- 7989 US Highway 64
Memphis, TN 38133-4007 - Phone
- (901) 384-0263
- NPI assigned
- Jul 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43510 | TN | Primary |
Addresses
Primary practice location
7989 US Highway 64
Memphis, TN 38133-4007
Mailing address
4527 Mayfield Glen CV Apt 104
Collierville, TN 38017-2033
Phone (901) 581-7834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106957967 | Other | TN | DRIVERS LICENSE |
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 |
|---|---|---|---|
| 43510 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1194378570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 MAYFIELD GLEN CV APT 104",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172033",
"telephone_number": "901-581-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7989 US HIGHWAY 64",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381334007",
"telephone_number": "901-384-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAVES",
"first_name": "ELIZABETH",
"middle_name": "GOODWIN",
"name_prefix": "Mrs.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "43510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "106957967",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.