Individual provider Active NPI

Jamie Ratliff, PHARMD

  • Pharmacist
  • Red Bank, TN
National Provider Identifier
1225445844
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33761 Issued in TN
Practice address
4038 Dayton Blvd
Red Bank, TN 37415-7123
Phone
(423) 877-2431
Fax
(423) 877-3258
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
33761TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Windham Drug Jellico, Inc Current Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33761 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

4038 Dayton Blvd
Red Bank, TN 37415-7123

Mailing address

4038 Dayton Blvd
Red Bank, TN 37415-7123
Phone (423) 877-2431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2014.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1225445844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 DAYTON BLVD",
            "city": "RED BANK",
            "state": "TN",
            "postal_code": "374157123",
            "telephone_number": "423-877-2431",
            "fax_number": "423-877-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 DAYTON BLVD",
            "city": "RED BANK",
            "state": "TN",
            "postal_code": "374157123",
            "telephone_number": "423-877-2431",
            "fax_number": "423-877-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JAMIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.