Active NPI
Devin Cleaves
- Pharmacist
- Memphis, TN
National Provider Identifier
1225704919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45567
- Practice address
- 4680 Poplar Ave
Memphis, TN 38117-4402 - Phone
- (901) 683-2488
- NPI assigned
- Aug 21, 2021
- Last updated
- Aug 21, 2021
- Sex
- Male
- 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 | 45567 | TN | Primary |
Addresses
Primary practice location
4680 Poplar Ave
Memphis, TN 38117-4402
Mailing address
5435 Garden Trail LN
Collierville, TN 38017-9448
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45567 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629504000000",
"number": "1225704919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 GARDEN TRAIL LN",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380179448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174402",
"telephone_number": "901-683-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAVES",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-21",
"last_updated": "2021-08-21",
"certification_date": "2021-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45567",
"primary": true
}
],
"identifiers": [],
"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 Aug 21, 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.