Vivian Paige Barham, RPH

Individual provider Active NPI Pharmacist · Hendersonville, TN

NPI 1376834069 · NPPES record last updated Apr 28, 2011

Key facts

NPI
1376834069
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6536 (TN)
Practice address
170 E Main St
Hendersonville, TN 37075-2587
Phone
(615) 822-6797
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
6536TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6536 TN Yes

Addresses

Primary practice location

170 E Main St
Hendersonville, TN 37075-2587

Mailing address

170 E Main St
Hendersonville, TN 37075-2587
Phone (615) 822-6797

Other providers in Hendersonville, TN

All providers in Hendersonville, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.