Rhonda Gaddy Bantom

Primary specialty

PharmacistTaxonomy code 183500000X

License

9331 Issued in TN

Practice address

8862 River Pine Dr
Cordova, TN 38016-7100

Phone

(901) 251-0152

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ronda Gaddy Bantom Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255535183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 RIVER PINE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167100",
            "telephone_number": "901-251-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 RIVER PINE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167100",
            "telephone_number": "901-251-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTOM",
        "first_name": "RHONDA",
        "middle_name": "GADDY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDA",
            "last_name": "BANTOM",
            "middle_name": "GADDY",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Balentine, PH.D
• Laura Ballard-Scott
• Rhonda Anderson Baltier, O.D.
• Cherish Renee Bandy, FNP-C
• Tamara Michele Banks, NP-C
• Baptist Memorial Regional Rehabilitative Services
• Barbara T. Henking, PH.D. Inc
• Sharnice Powers Barber
• Bailey Barnes, RBT
• William Barnes, LPC-A

• Pharmacist in Cordova, TN
• Providers in Cordova, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.