Active NPI
Suzanne S Flanagan
- Pharmacist
- Hixson, TN
National Provider Identifier
1407070147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000007878
- Practice address
- 6440 Sea Haven Dr
Hixson, TN 37343-3179 - Phone
- (423) 843-3520
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0000007878 | TN | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000007878 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6440 Sea Haven Dr
Hixson, TN 37343-3179
Mailing address
6440 Sea Haven Dr
Hixson, TN 37343-3179
Phone (423) 843-3520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407070147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 SEA HAVEN DR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373433179",
"telephone_number": "423-843-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 SEA HAVEN DR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373433179",
"telephone_number": "423-843-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "SUZANNE",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000007878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.