Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578270880 Individual Practitioner Female Practitioner

Dr. Raven Dates , PharmD

Pharmacist • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Dr. Raven Dates, PharmD is a registered healthcare professional specializing in Pharmacist in Memphis, TN. Practice services are available at 4155 ELVIS PRESLEY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4155 Elvis Presley Blvd

Memphis, TN 381165810

Telephone 9013484642
Fax 9013484643
Associated Practice Facility / Clinic
🏢 Tennessee Cvs Pharmacy Llc Facility NPI 1821421520

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1009 Specialists

Practicing in Memphis, TN (7476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TN 41147

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Lachre Brown , NP

Nurse Practitioner - Family

NPI 1184184814

Nurse Practitioner

NPI 1336425537

Doctor of Pharmacy (Pharm.D.)

Dr. Tiameria Ford , DNP, FNP-C

Nurse Practitioner - Family

NPI 1659086429

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2022

Registered at 4155 ELVIS PRESLEY BLVD, MEMPHIS, TN 381165810 (Tel: 9013484642)

📍
Updated Business Mailing Address November 07, 2022

Registered at 9676 GRAYS LAKE CV, CORDOVA, TN 380187770 (Tel: 9016793909)

👤
Provider Name / Credentials Updated November 07, 2022

Recorded as RAVEN DATES, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2022

Pharmacist (License #41147 in TN)

🟢
Initial NPI Registration & Enumeration November 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578270880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2022
Last Update: November 07, 2022
Sole Proprietor: No

Mailing Address

9676 Grays Lake Cv

Cordova, TN 380187770

Phone: 9016793909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.