Active NPI
Emily Raycraft
- Pharmacist
- East Ridge, TN
National Provider Identifier
1689058059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39357
- Practice address
- 3715 Ringgold Rd
East Ridge, TN 37412-1637 - Phone
- (423) 622-7354
- NPI assigned
- Jul 16, 2015
- Last updated
- Jul 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39357 | TN | Primary |
| Pharmacist | 183500000X | RPH028589 | GA |
Addresses
Primary practice location
3715 Ringgold Rd
East Ridge, TN 37412-1637
Mailing address
3715 Ringgold Rd
East Ridge, TN 37412-1637
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028589 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1689058059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 RINGGOLD RD",
"city": "EAST RIDGE",
"state": "TN",
"postal_code": "374121637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 RINGGOLD RD",
"city": "EAST RIDGE",
"state": "TN",
"postal_code": "374121637",
"telephone_number": "423-622-7354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYCRAFT",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "39357",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Ridge, TN
- Bruce Allen Pendley, MD
- Carlina Lopez Pendon, FNP-C
- Tessa K Poteralski, PT
- Puckett Emergency Medical Services, LLC (Puckett Emergency Medical Services)
- Puckett Med Van LLC
- Katelyn Joan Renard, PT, DPT
- Rhonda Lynn Renfro, FNP
- Byron L Reynolds, P.T.
- Richelle Marie Richey, PHARMD
- Ardyce Jane Ridolfo, MSN,D.PHIL, GNP, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.