Active NPI
John B Broyles
- Pharmacist
- Cookeville, TN
National Provider Identifier
1376477463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49839
- Practice address
- 1080 Neal St
Cookeville, TN 38501-0942 - Phone
- (931) 520-1001
- NPI assigned
- Jun 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49839 | TN | Primary |
Addresses
Primary practice location
1080 Neal St
Cookeville, TN 38501-0942
Mailing address
31 Beasley Bend Rd
Riddleton, TN 37151-2106
Phone (615) 735-7158
Other practice location 1
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (831) 528-2541
Other practice location 2
207 McMurry Blvd E
Hartsville, TN 37074-1109
Phone (615) 374-4353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1376477463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BEASLEY BEND RD",
"city": "RIDDLETON",
"state": "TN",
"postal_code": "371512106",
"telephone_number": "615-735-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 NEAL ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385010942",
"telephone_number": "931-520-1001"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014294",
"country_code": "US",
"telephone_number": "831-528-2541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 McMurry Blvd E",
"address_purpose": "LOCATION",
"city": "Hartsville",
"state": "TN",
"postal_code": "370741109",
"country_code": "US",
"telephone_number": "615-374-4353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROYLES",
"first_name": "JOHN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "49839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.