Active NPI
Kristina Elizabeth Tedford, PHARMD
- Pharmacist
- Dayton, TN
National Provider Identifier
1598322976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41450
- Practice address
- 7971 Rhea County Hwy
Dayton, TN 37321-5924 - Phone
- (423) 775-2163
- Fax
- (423) 775-5938
- NPI assigned
- May 21, 2019
- Last updated
- May 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41450 | TN | Primary |
Addresses
Primary practice location
7971 Rhea County Hwy
Dayton, TN 37321-5924
Mailing address
7971 Rhea County Hwy
Dayton, TN 37321-5924
Phone (423) 775-2163
Other practice location 1
7971 Rhea County Hwy
Dayton, TN 37321-5924
Phone (423) 775-2163
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 |
|---|---|---|---|
| 41450 | TN | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1598322976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7971 RHEA COUNTY HWY",
"city": "DAYTON",
"state": "TN",
"postal_code": "373215924",
"telephone_number": "423-775-2163",
"fax_number": "423-775-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7971 RHEA COUNTY HWY",
"city": "DAYTON",
"state": "TN",
"postal_code": "373215924",
"telephone_number": "423-775-2163",
"fax_number": "423-775-5938"
}
],
"practiceLocations": [
{
"address_1": "7971 Rhea County Hwy",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "TN",
"postal_code": "373215924",
"country_code": "US",
"telephone_number": "423-775-2163",
"fax_number": "423-775-5938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEDFORD",
"first_name": "KRISTINA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "41450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.