Matt Hayes
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Hendersonville, TN
NPI 1043661762 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1043661762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 39410 (TN)
- Practice address
- 237 E Main St
Hendersonville, TN 37075-2549 - Phone
- (615) 822-6797
- Fax
- (615) 822-6159
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 39410 | TN | Yes |
| Pharmacist | 183500000X | 39410 | TN |
Addresses
Primary practice location
237 E Main St
Hendersonville, TN 37075-2549
Mailing address
237 E Main St
Hendersonville, TN 37075-2549
Other providers in Hendersonville, TN
- Shelby Hawkins
- Hayes Endocrine & Diabetes Center
- Brendan Hayes
- Carrie Lee Hayes
- Katrina R Hayes
- Samuel Hayes
- Marilyn D Haymaker
- Lunyia Head
- Healing Care
- Healing Hands Health Institute, P.C
All providers in Hendersonville, 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 Oct 13, 2020. 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.