Individual provider Active NPI

Jarrett Swafford, PHARM D.

  • Pharmacist
  • Sale Creek, TN
National Provider Identifier
1992835037
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23990 Issued in TN
Practice address
14821 Dayton Pike Ste 115
Sale Creek, TN 37373-5752
Phone
(423) 486-9404
Fax
(423) 486-9434
NPI assigned
Mar 7, 2007
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23990 TN Primary

Addresses

Primary practice location

14821 Dayton Pike Ste 115
Sale Creek, TN 37373-5752

Mailing address

PO Box 646
Sale Creek, TN 37373-0646
Phone (423) 486-9404

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
23990TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sale Creek Pharmacy, Inc CurrentSince Nov 3, 2024 Accepting new patients
Decatur Pharmacy, Inc Current Accepting new patients
Freds Stores of Tennessee Inc Past Accepting new patients

Locations

14821 Dayton Pike
Ste 115
Sale Creek, TN 37373
Phone (423) 486-9404

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1992835037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373730646",
            "telephone_number": "423-486-9404",
            "fax_number": "423-486-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 DAYTON PIKE STE 115",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373735752",
            "telephone_number": "423-486-9404",
            "fax_number": "423-486-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAFFORD",
        "first_name": "JARRETT",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "23990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sale Creek, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.