Larry Bradford Vaughn, PHARMD
Individual provider Active NPI Pharmacist · Monterey, TN
NPI 1336734458 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1336734458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12246 (TN)
- Practice address
- 201 N Elmore St Ste F
Monterey, TN 38574-1260 - Phone
- (931) 839-6777
- Fax
- (931) 839-6779
- NPI assigned
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Drugs Inc | Current | Accepting new patients |
Locations
201 N Elmore St
Ste F
Monterey, TN 38574
Phone (931) 839-6777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12246 | TN | Yes |
Addresses
Primary practice location
201 N Elmore St Ste F
Monterey, TN 38574-1260
Mailing address
201 N Elmore St Ste F
Monterey, TN 38574-1260
Phone (931) 839-6777
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | montereydrugs@charter.net | Direct | Monterey Drugs Inc |
Other providers in Monterey, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. 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.