Active NPI
Teresa Edger
- Pharmacist
- Clarksville, TN
National Provider Identifier
1427396993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22152
- Practice address
- 1771 Madison St
Clarksville, TN 37043-4990 - Phone
- (931) 551-7036
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22152 | TN | Primary |
| Pharmacist | 183500000X | T0881 | MS | |
| Pharmacist | 183500000X | 11986 | AL | |
| Pharmacist | 183500000X | 17798 | GA |
Addresses
Primary practice location
1771 Madison St
Clarksville, TN 37043-4990
Mailing address
1616 Eastern Hills Dr
Clarksville, TN 37043-4510
Phone (931) 362-9265
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 |
|---|---|---|---|
| 11986 | AL | MD | Pharmacist |
| 17798 | GA | MD | Pharmacist |
| T0881 | MS | MD | Pharmacist |
| 22152 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1427396993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 EASTERN HILLS DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434510",
"telephone_number": "931-362-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 MADISON ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434990",
"telephone_number": "931-551-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGER",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "22152",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T0881",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11986",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "17798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.