Active NPI
Michael Dane Saavedra, PHARMD
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1629360888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000039733
- Practice address
- 3569 Brainerd Rd
Chattanooga, TN 37411-2708 - Phone
- (352) 219-2216
- Fax
- (423) 697-7593
- NPI assigned
- May 6, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSI27646 | FL | |
| Pharmacist | 183500000X | 0000039733 | TN | Primary |
Addresses
Primary practice location
3569 Brainerd Rd
Chattanooga, TN 37411-2708
Mailing address
15940 Channel Point Dr
Sale Creek, TN 37373-7906
Phone (352) 219-2216
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 |
|---|---|---|---|
| 0000039733 | TN | MD | Pharmacist |
| PSI27646 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1629360888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15940 CHANNEL POINT DR",
"city": "SALE CREEK",
"state": "TN",
"postal_code": "373737906",
"telephone_number": "352-219-2216",
"fax_number": "423-697-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374112708",
"telephone_number": "352-219-2216",
"fax_number": "423-697-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA",
"first_name": "MICHAEL DANE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-06",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "PSI27646",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000039733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.