Active NPI
Andrew Luke Whitlock, PHARM. D.
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1689985814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202205369
- Practice address
- 4542 Highway 58
Chattanooga, TN 37416-3009 - Phone
- (423) 892-6787
- Fax
- (423) 892-4621
- NPI assigned
- Jun 22, 2010
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21727 | TN | |
| Pharmacist | 183500000X | 0202205369 | VA | Primary |
Addresses
Primary practice location
4542 Highway 58
Chattanooga, TN 37416-3009
Mailing address
4542 Highway 58
Chattanooga, TN 37416-3009
Phone (423) 892-6787
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 |
|---|---|---|---|
| 0202205369 | VA | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1689985814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4542 HIGHWAY 58",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374163009",
"telephone_number": "423-892-6787",
"fax_number": "423-892-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4542 HIGHWAY 58",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374163009",
"telephone_number": "423-892-6787",
"fax_number": "423-892-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOCK",
"first_name": "ANDREW",
"middle_name": "LUKE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "21727",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202205369",
"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 Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.