Patti L Clem
Individual provider Active NPI Pharmacist · Oneida, TN
NPI 1215214846 · NPPES record last updated Nov 10, 2011
Key facts
- NPI
- 1215214846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35724 (TN)
- Practice address
- 19600 Alberta St
Oneida, TN 37841-3302 - Phone
- (423) 286-2270
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 35724 | TN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35724 | TN | Yes |
Addresses
Primary practice location
19600 Alberta St
Oneida, TN 37841-3302
Mailing address
19600 Alberta St
Oneida, TN 37841-3302
Phone (423) 286-2270
Other providers in Oneida, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2011. 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.