DR. KATIE JOY SUDA (NPI# 1124463021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124463021 |
| Entity Type | Individual |
| Full Name | DR. KATIE JOY SUDA |
| Credential | PHARMD, M.S. |
| Practice Address |
881 Madison Ave # 340 Memphis TN 38163-0001 |
| Practice Telephone | 9018485516 |
| Mailing Telephone | 9018485516 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11030 | TN | Pharmacy Service Providers |
| Street Address |
881 MADISON AVE # 340 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
| Find all providers in zip 38163 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1942660899 | Michael Bailey | Pharmacist | 1759 Union Ave, Memphis, TN 38104-6143 | 2016-03-03 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| 1952617805 | Teresa Ann Perkins | Pharmacist | 799 Truse Pkwy, Memphis, TN 38117-5354 | 2010-08-28 |
| 1265039077 | Ashley Michael | Pharmacist | 1212 E Shelby Dr, Memphis, TN 38116-7124 | 2020-10-05 |
| 1356952972 | Justin J Macklin | Pharmacist | 3670 Riverdale Rd, Memphis, TN 38115-5400 | 2020-08-17 |
| 1871102624 | Jake Trigg | Pharmacist | 3860 Austin Peay Hwy, Memphis, TN 38128-2501 | 2020-07-28 |
| 1992314272 | Ian Etheridge | Pharmacist | 800 Ridge Lake Blvd, Memphis, TN 38120-9427 | 2020-07-23 |
| 1134741572 | Ellen Marie Mcknight | Pharmacist | 1845 S 3rd St, Memphis, TN 38109-7717 | 2020-05-07 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.