Healthcare Provider Details

I. General information

NPI: 1386876548
Provider Name (Legal Business Name): TOSHIA REID PHARMD, BCGP, BCNSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 07/23/2023
Certification Date: 07/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

IV. Provider business mailing address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

V. Phone/Fax

Practice location:
  • Phone: 865-331-1678
  • Fax:
Mailing address:
  • Phone: 865-331-1678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number12139
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number12139
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12139
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: