1235122797 NPI number — JULIA E CARDER RPH,PHARMD, BCPS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235122797 NPI number — JULIA E CARDER RPH,PHARMD, BCPS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARDER
Provider First Name:
JULIA
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPH,PHARMD, BCPS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CARDER
Provider Other First Name:
BETH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RPH, PHARMD, BCPS
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1235122797
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6098 DEBRA RD BLDG 6200
Provider Second Line Business Mailing Address:
SUITE 5200
Provider Business Mailing Address City Name:
CHATTANOOGA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37411-5702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-893-6500
Provider Business Mailing Address Fax Number:
423-892-3086

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6098 DEBRA RD BLDG 6200
Provider Second Line Business Practice Location Address:
SUITE 5200
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37411-5702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-893-6500
Provider Business Practice Location Address Fax Number:
423-892-3086
Provider Enumeration Date:
08/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835P0018X , with the licence number:  RPH022150 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1835P1200X , with the licence number: RPH022150 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com