Thomas Dwight Beard, DPH
Individual provider Active NPI Pharmacist · La Vergne, TN
NPI 1063702736 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1063702736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4358 (TN)
- Practice address
- 5192 Murfreesboro Rd
La Vergne, TN 37086-2712 - Phone
- (615) 213-2222
- Fax
- (615) 213-2227
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4358 | TN | Yes |
Addresses
Primary practice location
5192 Murfreesboro Rd
La Vergne, TN 37086-2712
Mailing address
6956 Venetian Way
Murfreesboro, TN 37129-3802
Phone (615) 809-2149
Other providers in La Vergne, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 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.