THOMAS DERRICK GARDNER (NPI# 1487852430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487852430 |
| Entity Type | Individual |
| Full Name | THOMAS DERRICK GARDNER |
| Credential | R,PH |
| Practice Address |
4018 Breakwater Dr Hixson TN 37343-3528 |
| Practice Telephone | 4238422173 |
| Mailing Telephone | 4238422173 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1278 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | 1278 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063811644 | Thomas Levier Gardner | Dentist | 518 Hollyberry Ln Ste 105, Orange Park, FL 32065-5290 | 2014-08-19 |
| 1750428702 | Thomas Hiram Gardner | Chiropractor | 118 Cochituate Rd, Framingham, MA 01701-7978 | 2007-01-31 |
| 1780793372 | Thomas A Gardner | Social Worker | 230 Yager Ave Ste 5, Lagrange, KY 40031-1060 | 2006-08-29 |
| 1770800864 | Thomas Frederick Gardner | Specialist | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2010-04-28 |
| 1811153729 | Thomas Charles Gardner | Nurse Practitioner | 2642 State Route 76, Willow Springs, MO 65793-8254 | 2008-07-30 |
| 1104096783 | Thomas Don Gardner | Counselor | 1130 Conroy Ln, Roseville, CA 95661-4156 | 2008-03-10 |
| 1770703498 | Thomas George Gardner | Physical Therapist | 1551 Nw 54th St, Seattle, WA 98107-3845 | 2007-04-26 |
| 1952528366 | Thomas A Gardner | Ophthalmology | 2801 W Kinnickinnic Pkwy, 630, Milwaukee, WI 53215-5212 | 2007-04-19 |
| 1396836375 | Thomas L Gardner | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-09-27 |
| 1528022464 | Thomas W Gardner | Ophthalmology | 1000 Wall St, Ann Arbor, MI 48105-1912 | 2006-04-17 |
| Street Address |
4018 BREAKWATER DR |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652753 | Mandy Hill | Pharmacist | 5928 Hixson Pike Ste 112, Hixson, TN 37343-4839 | 2018-09-13 |
| 1457890436 | Sushma Patel | Pharmacist | 1966 Chadwick Ct, Hixson, TN 37343-6505 | 2017-02-23 |
| 1629483458 | Hozan Tahir Hussain | Pharmacist | 5441 Highway 153, Hixson, TN 37343-3720 | 2014-07-01 |
| 1063765642 | Wade Gilreath | Pharmacist | 5380 Highway 153, Hixson, TN 37343-4946 | 2012-10-19 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1710293519 | Michael Allen Leazer | Pharmacist | 8530 Hixson Pike, Hixson, TN 37343 | 2010-08-31 |
| 1699091819 | Donna Faye Webb | Pharmacist | 5604 Hixson Pike, Hixson, TN 37343-3243 | 2010-04-13 |
| 1033443619 | Michael Owen Levan | Pharmacist | 5380 Hwy 153, K-mart Pharmacy 7118, Hixson, TN 37343 | 2009-09-29 |
| 1063697860 | Marjorie Joan Miller | Pharmacist | 5928 Hixson Pike, Hixson, TN 37343-4838 | 2007-12-31 |
| 1407070147 | Suzanne S Flanagan | Pharmacist | 6440 Sea Haven Dr, Hixson, TN 37343-3179 | 2007-04-12 |
| Find all providers in HIXSON | ||||
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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.