Organization Active NPI

Summitt MTM Pharmacy

  • Pharmacy
  • Dandridge, TN
National Provider Identifier
1306189154
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5151 Issued in TN
Legal business name
SUMMITT MTM PHARMACY
Practice address
1978 Oak Grove Rd
Dandridge, TN 37725-5029
Phone
(865) 680-5221
Fax
(865) 381-2110
NPI assigned
Mar 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Lovelace Summitt, PHARM.D.
Title
Owner/Pharmacist
Phone
(865) 748-7417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5151 TN Primary

Addresses

Primary practice location

1978 Oak Grove Rd
Dandridge, TN 37725-5029

Mailing address

PO Box 1728
1978 Oak Grove Road
Dandridge, TN 37725-1728
Phone (865) 748-7417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364601600000",
    "number": "1306189154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1728",
            "address_2": "1978 OAK GROVE ROAD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377251728",
            "telephone_number": "865-748-7417",
            "fax_number": "865-381-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 OAK GROVE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377255029",
            "telephone_number": "865-680-5221",
            "fax_number": "865-381-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMITT MTM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-03-30",
        "status": "A",
        "authorized_official_last_name": "SUMMITT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LOVELACE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "865-748-7417",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "5151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; 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.