Active NPI
Erica Podar
- Pharmacist
- Clinton, TN
National Provider Identifier
1386038222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33441
- Practice address
- 507 S Charles G Seivers Blvd
Clinton, TN 37716-2723 - Phone
- (865) 457-5259
- NPI assigned
- Mar 27, 2015
- 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 | 33441 | TN | Primary |
Addresses
Primary practice location
507 S Charles G Seivers Blvd
Clinton, TN 37716-2723
Mailing address
507 S Charles G Seivers Blvd
Clinton, TN 37716-2723
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 |
|---|---|---|---|
| 33441 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-VA-T Food Stores, Inc. | Past | Accepting new patients | |
| K VA T Food Stores 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Clinton, TN
- NPI 1265684658
-
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1245038512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1386038222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S CHARLES G SEIVERS BLVD",
"city": "CLINTON",
"state": "TN",
"postal_code": "377162723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S CHARLES G SEIVERS BLVD",
"city": "CLINTON",
"state": "TN",
"postal_code": "377162723",
"telephone_number": "865-457-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODAR",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.