Individual provider Active NPI

Andrea L Barham, PHARMD

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1891304127
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37252 Issued in TN
Practice address
431 Park Village Rd Ste 105
Knoxville, TN 37923-3806
Phone
(910) 512-2972
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37252 TN Primary

Addresses

Primary practice location

431 Park Village Rd Ste 105
Knoxville, TN 37923-3806

Mailing address

4111 Oakstone LN
Knoxville, TN 37918-1797
Phone (910) 512-2972

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANDREA.BARHAM@ETPSLTC.COM

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

LicenseStateTypeSpecialty
37252TNMDPharmacist

Interoperability endpoints

  • Direct secure messaging: andrea.barham@etpsltc.com

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1891304127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 OAKSTONE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181797",
            "telephone_number": "910-512-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PARK VILLAGE RD STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233806",
            "telephone_number": "910-512-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHAM",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREA.BARHAM@ETPSLTC.COM",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "431 Park Village Rd Ste 105",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379233806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.