Jerry Benson Bryant, DPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Pulaski, TN
NPI 1013299718 · NPPES record last updated Sep 19, 2011
Key facts
- NPI
- 1013299718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 3916 (TN)
- Practice address
- 620 W College St
Pulaski, TN 38478-3613 - Phone
- (931) 424-5335
- Fax
- (931) 424-6463
- NPI assigned
- Sep 19, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 3916 | TN | Yes |
Addresses
Primary practice location
620 W College St
Pulaski, TN 38478-3613
Mailing address
620 W College St
Pulaski, TN 38478-3613
Phone (931) 424-5335
Other providers in Pulaski, TN
- Deborah Lynn Brown
- Linda Jean Brown
- Parker Ann Brown
- Scarlett Samantha Brown
- Marianna Elizabeth Brumit
- Ashley Burdick
- Charles William Burger
- Matthew Jesse Burns
- Debra Jean Burr
- Sara Beth Bush
All providers in Pulaski, TN · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2011. 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.