Brent E Smith, RPH
Individual provider Active NPI Pharmacist · Munford, TN
NPI 1114201415 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1114201415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7736 (TN)
- Practice address
- 24 McLaughlin Dr
Munford, TN 38058-2624 - Phone
- (901) 837-0183
- Fax
- (901) 837-4815
- NPI assigned
- Oct 5, 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
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Docs Hometown Pharmacy LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7736 | TN | Yes |
Addresses
Primary practice location
24 McLaughlin Dr
Munford, TN 38058-2624
Mailing address
24 McLaughlin Dr
Munford, TN 38058
Phone (901) 837-0183
Other providers in Munford, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 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.