Bryan M Summerford, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

39555 Issued in TN

Practice address

1153 Fortress Blvd
Murfreesboro, TN 37128-5268

Phone

(615) 546-6977

NPI assigned

Mar 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Murfreesboro, TN
  • NPI 1750752309
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316440183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 FORTRESS BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285268",
            "telephone_number": "615-546-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 FORTRESS BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285268",
            "telephone_number": "615-546-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFORD",
        "first_name": "BRYAN",
        "middle_name": "M",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "39555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Leo Sullivan, R.PH.
• Jennifer Sullivan, FNP
• Savannah Sullivan, PTA
• Kim Summar
• Summer Medical Transportation
• Paul Edward Summerhill, D.C.
• Jill Diane Summers, LPC-MHSP
• Timothy Kyle Summers, MD
• Deborah K. Summerskill, RN
• Carla Summey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.