Individual provider Active NPI

John B Broyles

  • Pharmacist
  • Cookeville, TN
National Provider Identifier
1376477463
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49839 Issued in TN
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

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.