Active NPI
Kristina Danette Carter, PHARM D
- Pharmacist
- Tullahoma, TN
National Provider Identifier
1427397199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020398
- Practice address
- 104 North Jackson Street
Tullahoma, TN 37388 - Phone
- (678) 900-4793
- NPI assigned
- Jan 31, 2013
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020398 | GA | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020398 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
104 North Jackson Street
Tullahoma, TN 37388
Mailing address
652 Angier Ave NE
Atlanta, GA 30308-3166
Phone (678) 900-4793
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020398 | Other | GA | GA RPH LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2024.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1427397199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 ANGIER AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303083166",
"telephone_number": "678-900-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 NORTH JACKSON STREET",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "37388",
"telephone_number": "678-900-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KRISTINA",
"middle_name": "DANETTE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA RPH LICENSE",
"identifier": "020398",
"state": "GA"
}
],
"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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.