Active NPI
Karen Suddarth, PHARMD
- Pharmacist
- Pulaski, TN
National Provider Identifier
1760980692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12169
- Practice address
- 1655 W College St
Pulaski, TN 38478-5207 - Phone
- (931) 424-5584
- Fax
- (931) 424-9534
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12169 | TN | Primary |
Addresses
Primary practice location
1655 W College St
Pulaski, TN 38478-5207
Mailing address
1655 W College St
Pulaski, TN 38478-5207
Phone (931) 424-5584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12169 | Other | TN | TN STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 12169 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1760980692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 W COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384785207",
"telephone_number": "931-424-5584",
"fax_number": "931-424-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 W COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384785207",
"telephone_number": "931-424-5584",
"fax_number": "931-424-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDARTH",
"first_name": "KAREN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN STATE BOARD OF PHARMACY",
"identifier": "12169",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.