Organization Active NPI

Deems S Riddle III

  • Community/Retail Pharmacy
  • Chattanooga, TN
National Provider Identifier
1699831966
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000004352 Issued in TN
Legal business name
DEEMS S RIDDLE III
Practice address
4335 Ringgold Rd
Chattanooga, TN 37412-2740
Phone
(423) 510-2788
Fax
(423) 510-2789
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deems Riddle, RPHNPI 1649329343
Title
Owner and Pic
Phone
(423) 510-2788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0000004352 TN Primary

Addresses

Primary practice location

4335 Ringgold Rd
Chattanooga, TN 37412-2740

Mailing address

4335 Ringgold Rd
Chattanooga, TN 37412-2740
Phone (423) 510-2788

Other identifiers 2

IdentifierTypeStateIssuer
1699831966MedicaidTN
2095159OtherPK

Other names 1

  • RAPID RX Doing business as

National Provider Directory

National Provider Directory

Locations

4335 Ringgold Rd
Chattanooga, TN 37412
Phone (423) 510-2788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1699831966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122740",
            "telephone_number": "423-510-2788",
            "fax_number": "423-510-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122740",
            "telephone_number": "423-510-2788",
            "fax_number": "423-510-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEMS S RIDDLE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "DEEMS",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "423-510-2788",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000004352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699831966",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPID RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.