Individual provider Active NPI

Elizabeth Wilson Truelove, R.PH.

  • Pharmacist
  • Englewood, TN
National Provider Identifier
1710051339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8816 Issued in TN
Practice address
18 Church St
Englewood, TN 37329-3301
Phone
(423) 887-7293
Fax
(423) 887-7022
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8816 TN Primary

Addresses

Primary practice location

18 Church St
Englewood, TN 37329-3301

Mailing address

610 Stalans Dr
Etowah, TN 37331-1067
Phone (423) 887-7293

Other names 1

  • Mrs. Serrah Elizabeth Truelove Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000260 TN Practitioner - Mass Immunization Roster Biller 4082788633 Practice locations: Englewood, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710051339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STALANS DR",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311067",
            "telephone_number": "423-887-7293",
            "fax_number": "423-887-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHURCH ST",
            "city": "ENGLEWOOD",
            "state": "TN",
            "postal_code": "373293301",
            "telephone_number": "423-887-7293",
            "fax_number": "423-887-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUELOVE",
        "first_name": "ELIZABETH",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "8816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERRAH",
            "last_name": "TRUELOVE",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "R PH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.