Active NPI
Tristan Sadowski, PHARMD
- Pharmacist
- Clarksville, TN
National Provider Identifier
1528344728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441833
- Practice address
- 1751 Tiny Town Road
Clarksville, TN 37040 - Phone
- (931) 552-7464
- Fax
- (931) 552-4204
- NPI assigned
- Nov 1, 2011
- Last updated
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29521 | TN | |
| Pharmacist | 183500000X | RP441833 | PA | Primary |
Addresses
Primary practice location
1751 Tiny Town Road
Clarksville, TN 37040
Mailing address
1751 Tiny Town Road
Clarksville, TN 37040
Phone (931) 552-7464
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 |
|---|---|---|---|
| RP441833 | PA | MD | Pharmacist |
| 29521 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1528344728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 TINY TOWN ROAD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"telephone_number": "931-552-7464",
"fax_number": "931-552-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 TINY TOWN ROAD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"telephone_number": "931-552-7464",
"fax_number": "931-552-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADOWSKI",
"first_name": "TRISTAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "29521",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441833",
"primary": true
}
],
"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 Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.