DR. SAM MEKKAOUI (NPI# 1790055838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790055838 |
| Entity Type | Individual |
| Full Name | DR. SAM MEKKAOUI |
| Credential | PHARM.D. |
| Practice Address |
1200 Dodson Ave Chattanooga TN 37406-3214 |
| Practice Telephone | 4233861107 |
| Mailing Telephone | 4233861107 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH029590 | GA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
40505 | TN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1228 Battlefield Pkwy, Fort Oglethorpe, GA 307424008 | 7068617284 | |
| 9307 Lee Hwy, Ooltewah, TN 37363 | 4232387724 |
| Street Address |
1200 DODSON AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37406-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664674 | Mark Alan Branch | Obstetrics & Gynecology | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2005-10-21 |
| 1083278113 | Shawn Winton | Counselor | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2019-04-24 |
| 1740642040 | Thaer A Musa | Internal Medicine | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2016-03-25 |
| 1669807335 | Deondra Wheeler Holston | Nurse Practitioner | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-09-12 |
| 1164855169 | Keith Jerome Mcwilliams | Pharmacist | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-08-13 |
| 1629414222 | Srikar Vulugundam | Dentist | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-05-22 |
| 1619313418 | Aparnaa Upadhyaya | Dentist | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2013-05-20 |
| 1942574280 | Lincoln Peixoto | Family Medicine | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2012-03-05 |
| 1154591246 | Larry Curtis Cary | Internal Medicine | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2008-03-05 |
| 1164631156 | Jennie Mahaffey | Psychiatry & Neurology | 1200 Dodson Ave, Chattanooga, TN 37406-3214 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1124499959 | Maria Elena Ramantanin | Special Hospital | 2132 Amnicola Hwy, Chattanooga, TN 37406 | 2015-10-20 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1740512177 | Erin Michelle Harper | Nurse Practitioner | 1200 Dodson Avenue, Chattanooga, TN 37406 | 2010-02-10 |
| 1306047170 | Mary Nicole Crittenden | Physical Therapist | 1501 Riverside Dr. Suite 270, Chattanooga, TN 37406 | 2007-05-30 |
| 1083836761 | Mercury Cab Co. | Taxi | 901 Dodson Ave, Chattanooga, TN 37406 | 2007-05-03 |
| 1558491902 | Breezie Finley | Nurse Practitioner | 3167 Elmendorf Circle, Chattanooga, TN 37406 | 2007-03-06 |
| 1356400824 | Rebecca Lee Ingle Holden | Chiropractor | 4289 Bonny Oaks Dr Ste 107, Chattanooga, TN 37406 | 2006-12-08 |
| 1033195110 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 1501 Riverside Dr Ste 340, Chattanooga, TN 37406 | 2005-12-20 |
| 1982254991 | Sage Lauren Hutchison | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406 | 2019-09-12 |
| Find all providers in zip 37406 | ||||
| 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 |
|---|---|---|---|---|
| 1477831071 | Dustin M Smith | Pharmacist | 1147 Dartmouth St, Chattanooga, TN 37405-3009 | 2011-07-30 |
| 1841589215 | Floyd Michael White | Pharmacist | 7354 E Brainerd Rd, Chattanooga, TN 37421-3842 | 2011-04-06 |
| 1457590952 | Michelle G. Hooton | Pharmacist | 4062 Hixson Pike, Chattanooga, TN 37415-3110 | 2009-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1841822640 | Vip Pet Meds Inc | Pharmacist | 14675 Highway 194, Oakland, TN 38060-4133 | 2020-02-10 |
| 1669019188 | Corey D Grimshaw | Pharmacist | Tucker Pharmacy, 2415 Fairview Blvd, Fairview, TN 37062-3706 | 2019-12-03 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1265929863 | Felicia Sells | Pharmacist | 2629 Decherd Blvd, Winchester, TN 37398-1166 | 2018-04-18 |
| 1588172449 | Tarmeshia Marable | Pharmacist | 2021 25th Ave N, Nashville, TN 37208-1305 | 2018-01-12 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1205358074 | Erica Brooke Schlesinger | Pharmacist | 500 Deaderick St, Nashville, TN 37243-0001 | 2017-07-12 |
| 1851823173 | Scott Denno | Pharmacist | 1406 Derby Trce, Nashville, TN 37211-7344 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37406 |
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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.