Felicia Tawah Che Ditah

Primary specialty

PharmacistTaxonomy code 183500000X

License

40604 Issued in TN

Practice address

384 Oil Well Rd
Jackson, TN 38305-7929

Phone

(731) 664-8892

Fax

(731) 661-9195

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Jackson, TN
  • NPI 1063429082
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1881209146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 OIL WELL RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057929",
            "telephone_number": "731-664-8892",
            "fax_number": "731-661-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 OIL WELL RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057929",
            "telephone_number": "731-664-8892",
            "fax_number": "731-661-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITAH",
        "first_name": "FELICIA",
        "middle_name": "TAWAH CHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Diffee, MD
• Mimi Dill, NP
• Kevin Brent Dillon, PT
• Tracy L Dillon, P.T.
• Laura L Dipuma, MD
• Linda Dixon, RDH
• Martha Dixon, RD, LDN
• DLP Medical LLC
• Doc Supply of West Tennessee, LLC
• Pamela Doering

• Pharmacist in Jackson, TN
• Providers in Jackson, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.