Active NPI
Cassie Keller, DPH
- Pharmacist
- Cleveland, TN
National Provider Identifier
1265560023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7520
- Practice address
- 2260 Chambliss Ave NW
Cleveland, TN 37311-3843 - Phone
- (423) 479-8601
- Fax
- (423) 476-4793
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 7520 | TN | Primary |
Addresses
Primary practice location
2260 Chambliss Ave NW
Cleveland, TN 37311-3843
Mailing address
112 Mill Stone LN NE
Cleveland, TN 37323-5767
Phone (423) 476-8918
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 |
|---|---|---|---|
| 7520 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawfords Pharmacy Inc | Past | Accepting new patients | |
| Crawfords Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Crawford's Pharmacy
- Community/Retail Pharmacy
- Cleveland, TN
- NPI 1346378668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265560023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MILL STONE LN NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373235767",
"telephone_number": "423-476-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 CHAMBLISS AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113843",
"telephone_number": "423-479-8601",
"fax_number": "423-476-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CASSIE",
"name_prefix": "Mrs.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.