Active NPI
Jaime Sue Threadgill, D.PH.
- Geriatric Pharmacist
- Chattanooga, TN
National Provider Identifier
1417080847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 5923
- Practice address
- 110 N Market St
Chattanooga, TN 37405-3905 - Phone
- (423) 752-8104
- NPI assigned
- Mar 14, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5923 | TN | |
| Geriatric Pharmacist | 1835G0303X | 5923 | TN | Primary |
| Nutrition Support Pharmacist | 1835N1003X | 5923 | TN | |
| Pharmacotherapy Pharmacist | 1835P1200X | 5923 | TN | |
| Psychiatric Pharmacist | 1835P1300X | 5923 | TN |
Addresses
Primary practice location
110 N Market St
Chattanooga, TN 37405-3905
Mailing address
1210 Dugdale St
Chattanooga, TN 37405-3620
Phone (423) 752-8418
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 |
|---|---|---|---|
| 5923 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | 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.
-
- Pharmacy
- Chattanooga, TN
- NPI 1669587861
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417080847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 DUGDALE ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374053620",
"telephone_number": "423-752-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N MARKET ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374053905",
"telephone_number": "423-752-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THREADGILL",
"first_name": "JAIME",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5923",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TN",
"license": "5923",
"primary": true
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "TN",
"license": "5923",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "5923",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "TN",
"license": "5923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.