Provider Demographics
NPI:1598395089
Name:SMITH, AMY METCALFE (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:METCALFE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:METCALFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1301 WENLOCK RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-1455
Mailing Address - Country:US
Mailing Address - Phone:901-674-3274
Mailing Address - Fax:
Practice Address - Street 1:1932 ALCOA HWY STE C-550
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1527
Practice Address - Country:US
Practice Address - Phone:865-305-3794
Practice Address - Fax:865-305-2694
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN420701835P0018X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care