Ashlee Nicole Childress, PHARMD
Individual provider Active NPI Pharmacist · Jefferson City, TN
NPI 1659907277 · NPPES record last updated Mar 15, 2020
Key facts
- NPI
- 1659907277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 40705 (TN)
- Practice address
- 132 E Broadway Blvd
Jefferson City, TN 37760-2535 - Phone
- (865) 471-0548
- NPI assigned
- Mar 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
132 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 471-0548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40705 | TN | Yes |
Addresses
Primary practice location
132 E Broadway Blvd
Jefferson City, TN 37760-2535
Mailing address
7369 Lakeshore Dr
Rutledge, TN 37861-4801
Phone (276) 337-0312
Other providers in Jefferson City, TN
- Rebecca George Cate
- Cedars Healthcare LLC
- Sarah E. Chapman
- Cherokee Anesthesia Group
- Cherokee Health Systems
- Beau Christian
- Katherine Ratcliff Clabo
- Thomas Clapp III
- Casey Stiles Climer
- Kristen Grizzell Clingenpeel
All providers in Jefferson City, TN · Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.