Active NPI
Caitlin Waldroup, PHARMD
- Pharmacist
- Maryville, TN
National Provider Identifier
1265999692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41268
- Practice address
- 220 Foothills Mall Dr
Maryville, TN 37801-5516 - Phone
- (865) 379-7899
- NPI assigned
- Feb 21, 2019
- Last updated
- Feb 21, 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 | 41268 | TN | Primary |
Addresses
Primary practice location
220 Foothills Mall Dr
Maryville, TN 37801-5516
Mailing address
1310 Robert Ridge Rd
Sevierville, TN 37862-6174
Phone (865) 806-1099
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1265999692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 ROBERT RIDGE RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378626174",
"telephone_number": "865-806-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 FOOTHILLS MALL DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378015516",
"telephone_number": "865-379-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROUP",
"first_name": "CAITLIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "41268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4223)
- Wal-Mart Stores East, L.P. (Vision Center 30-4223)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-7239)
- Wal-Mart Stores East, LP (Walmart Pharmacy 10-7239)
- Andrea Waldrop, PHARMD
- Walgreen Co (Walgreens #11699)
- Walgreen Co (DFHC Pharmacy)
- Walgreen Co (Walgreens #15906)
- Walgreen Co (Walgreens #06993)
- Walker & Wyatt, LLC (Village Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.