William Clement
Individual provider Active NPI Pharmacist · Shelbyville, TN
NPI 1003367582 · NPPES record last updated Oct 19, 2016
Key facts
- NPI
- 1003367582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7727 (TN)
- Practice address
- 661 E Lane St
Shelbyville, TN 37160-3437 - Phone
- (931) 684-9987
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7727 | TN | MD | Registered Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7727 | TN | Yes |
Addresses
Primary practice location
661 E Lane St
Shelbyville, TN 37160-3437
Mailing address
661 E Lane St
Shelbyville, TN 37160-3437
Phone (931) 684-9987
Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2016. 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.