Jaclyn Kempf, PHARMD
Individual provider Active NPI Pharmacist · Hartsville, TN
NPI 1215547724 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1215547724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 41305 (TN)
- Practice address
- 215 Broadway
Hartsville, TN 37074-1303 - Phone
- (615) 680-3460
- Fax
- (615) 680-3470
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 019540 | KY | MD | Pharmacist |
| 41305 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019540 | KY | |
| Pharmacist | 183500000X | 41305 | TN | Yes |
Addresses
Primary practice location
215 Broadway
Hartsville, TN 37074-1303
Mailing address
215 Broadway
Hartsville, TN 37074-1303
Phone (615) 680-3460
Other providers in Hartsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 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.