Miguel A Bonet, DPH
Individual provider Active NPI Pharmacist · Jefferson City, TN
NPI 1003028010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003028010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11822 (TN)
- Practice address
- 1403 Russell Ave
Jefferson City, TN 37760-2530 - Phone
- (865) 475-3836
- Fax
- (865) 475-4034
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&M Pharmacy LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11822 | TN | Yes |
Addresses
Primary practice location
1403 Russell Ave
Jefferson City, TN 37760-2530
Mailing address
1403 Russell Ave
Jefferson City, TN 37760-2530
Phone (865) 475-3836
Other providers in Jefferson City, TN
- Blair E. Cohen, DDS, PLLC
- William Lafayette Blevins
- Mark James Blosser
- Ida Mae Boatman-Goussios
- Madison Stephens Boles
- Keiko Bovee
- Morgan Frazier Bowlin
- Broken Arrow
- Lisa Carol Bryant
- Carly Budiac
All providers in Jefferson City, TN · Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.