Healthcare Provider Details

I. General information

NPI: 1952556946
Provider Name (Legal Business Name): SARAH THERESE NORDMEYER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY # U41 DEPARTMENT OF PHARMACY
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

1924 ALCOA HWY # U41 DEPARTMENT OF PHARMACY
KNOXVILLE TN
37920-1511
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9124
  • Fax:
Mailing address:
  • Phone: 865-305-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number014247
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03127231
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0000027209
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26022626A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: