Individual provider Active NPI

Katie Rebecca Pritt

  • Pharmacist
  • Tullahoma, TN
National Provider Identifier
1376155168
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43509 Issued in TN
Practice address
1600 N Jackson St Ste 340
Tullahoma, TN 37388-2471
Phone
(931) 408-6380
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 43509 TN Primary

Addresses

Primary practice location

1600 N Jackson St Ste 340
Tullahoma, TN 37388-2471

Mailing address

1600 N Jackson St Ste 340
Tullahoma, TN 37388-2471
Phone (931) 408-6380

Other practice location 1

397 Vanguard Ln
Tullahoma, TN 37388-5916
Phone (434) 987-4178

Other practice location 2

3605 Brainerd Rd
Chattanooga, TN 37411-3602
Phone (423) 622-7520

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

LicenseStateTypeSpecialty
43509TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Tennessee, LLC CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients

Locations

1600 N Jackson St
Ste 340
Tullahoma, TN 37388
Phone (931) 408-6380

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1376155168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N JACKSON ST STE 340",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882471",
            "telephone_number": "931-408-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N JACKSON ST STE 340",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882471",
            "telephone_number": "931-408-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Vanguard Ln",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373885916",
            "country_code": "US",
            "telephone_number": "434-987-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Brainerd Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374113602",
            "country_code": "US",
            "telephone_number": "423-622-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRITT",
        "first_name": "KATIE",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "43509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.