Healthcare Provider Details

I. General information

NPI: 1215270442
Provider Name (Legal Business Name): SAVANAH RENEE DEROSSETT PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2013
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 SHALLOWFORD RD
CHATTANOOGA TN
37421-5406
US

IV. Provider business mailing address

7401 FERRELL FARM DR
HARRISON TN
37341-2212
US

V. Phone/Fax

Practice location:
  • Phone: 931-248-4190
  • Fax:
Mailing address:
  • Phone: 931-248-4190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number37626
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202212626
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberP17167
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH026927
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: