Healthcare Provider Details

I. General information

NPI: 1649586017
Provider Name (Legal Business Name): SARAH RODDY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 09/10/2022
Certification Date: 09/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 ELM HILL PIKE
NASHVILLE TN
37214-3100
US

IV. Provider business mailing address

1921 INDIAN SPRINGS LN
KNOXVILLE TN
37932-1872
US

V. Phone/Fax

Practice location:
  • Phone: 800-567-4377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42340
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number42340
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: