Anne W Deatheridge, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

14311 Issued in TN

Practice address

201 Smythe St
Apt 304
Greenville, SC 29611-3567

Phone

(615) 830-5715

NPI assigned

Aug 29, 2013

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: awdeatheridge@tuckerpharmacy.libertysoftwaredirect.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1528492378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 FAIRVIEW BLVD",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629078",
            "telephone_number": "615-799-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SMYTHE ST",
            "address_2": "APT 304",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113567",
            "telephone_number": "615-830-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEATHERIDGE",
        "first_name": "ANNE",
        "middle_name": "W",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "14311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly B Dean, MD
• Lauren Ashleigh Dean, LMSW
• Lindsay Brooke Dean, BA, COTA/L
• Terri W Dean, FNP
• Wendy E Dean, PHARMD
• Laura Deaton
• Tara Debeck
• Billie Ellen Debellevue, CRNA
• Kaleigh Debernardo
• James R Debloom II, MD

• Pharmacist in Greenville, SC
• Providers in Greenville, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.