Amber Blevins
Individual provider Active NPI Pharmacist · New Tazewell, TN
NPI 1164029435 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1164029435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 44426 (TN)
- Practice address
- 915 N Broad St
New Tazewell, TN 37825-6633 - Phone
- (423) 626-5511
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- 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 | 44426 | TN | Yes |
Addresses
Primary practice location
915 N Broad St
New Tazewell, TN 37825-6633
Mailing address
915 N Broad St
New Tazewell, TN 37825-6633
Phone (423) 626-5511
Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 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.