Individual provider Active NPI

Thomas H Sagely-Patterson, PHARMD

  • Pharmacist
  • Dickson, TN
National Provider Identifier
1306590799
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45078 Issued in TN
Practice address
175 Beasley Dr
Dickson, TN 37055-2841
Phone
(615) 441-1417
NPI assigned
Feb 5, 2022
Last updated
Feb 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45078 TN Primary

Addresses

Primary practice location

175 Beasley Dr
Dickson, TN 37055-2841

Mailing address

175 Beasley Dr
Dickson, TN 37055-2841
Phone (615) 441-1417

Other practice location 1

714 Oakdell Ave
Madison, TN 37115-4735
Phone (615) 483-2159

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
45078TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1306590799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BEASLEY DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552841",
            "telephone_number": "615-441-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BEASLEY DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552841",
            "telephone_number": "615-441-1417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Oakdell Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371154735",
            "country_code": "US",
            "telephone_number": "615-483-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGELY-PATTERSON",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "45078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.