Robert Bryan Wooldridge, RPH
Individual provider Active NPI Pharmacist · Tellico Plains, TN
NPI 1184229155 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1184229155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7133 (TN)
- Practice address
- 9170 New Highway 68
Tellico Plains, TN 37385-5397 - Phone
- (423) 253-2823
- Fax
- (423) 253-3247
- NPI assigned
- Nov 30, 2020
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7133 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7133 | TN | Yes |
Addresses
Primary practice location
9170 New Highway 68
Tellico Plains, TN 37385-5397
Mailing address
9170 New Highway 68
Tellico Plains, TN 37385-5397
Phone (423) 253-2823
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CVSPHARMACY | Direct |
Other providers in Tellico Plains, TN
- Kathy Stockner
- Amber Taylor
- Tennessee CVS Pharmacy LLC
- The Family Wellness Group Inc.
- William S Howard DDS Inc
All providers in Tellico Plains, TN · Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 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.