Heather Moore Brown, PHARMD
Individual provider Active NPI Pharmacist · Dickson, TN
NPI 1194227355 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1194227355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10804 (TN)
- Practice address
- 175 Beasley Dr
Dickson, TN 37055-2841 - Phone
- (615) 441-1417
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10804 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10804 | TN | Yes |
Addresses
Primary practice location
175 Beasley Dr
Dickson, TN 37055-2841
Mailing address
175 Beasley Dr
Dickson, TN 37055-2841
Phone (615) 441-1417
Other practice location 1
2200 Highway 641 N
Camden, TN 38320-5276
Phone (731) 584-4667
Other practice location 2
180 Veterans Dr N
Huntingdon, TN 38344-6202
Phone (731) 986-2888
Other practice location 3
275 Walton Dr
Waverly, TN 37185-3382
Phone (931) 296-9984
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.