Healthcare Provider Details

I. General information

NPI: 1821835349
Provider Name (Legal Business Name): REBECCA JON-MERRELL CALLAHAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BECCA JON-MERRELL CALLAHAN PHARM.D.

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 BROOKLAWN ST
FARRAGUT TN
37934-2875
US

IV. Provider business mailing address

3124 LINDEN AVE
KNOXVILLE TN
37914-4537
US

V. Phone/Fax

Practice location:
  • Phone: 865-671-7920
  • Fax:
Mailing address:
  • Phone: 678-446-9742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number48111
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: