Cassandra Nicole Zimmer, PHARMD
Individual provider Active NPI Pharmacist · Bellevue, TN
NPI 1376148809 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1376148809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 55313 (TN)
- Practice address
- 8110 Highway 100
Bellevue, TN 37221-4214 - Phone
- (999) 999-9999
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 55313 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55313 | TN | Yes |
Addresses
Primary practice location
8110 Highway 100
Bellevue, TN 37221-4214
Mailing address
7316 Horn Tavern CT
Fairview, TN 37062-7254
Phone (812) 632-8225
Other providers in Bellevue, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 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.