Active NPI
Robert Louis Henderson, PHARM.D.
- Pharmacist
- Clarksville, TN
National Provider Identifier
1457790537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37482
- Practice address
- 1128 Fort Campbell Blvd
Clarksville, TN 37042-6450 - Phone
- (931) 905-0400
- NPI assigned
- Jun 21, 2013
- 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 | 37482 | TN | Primary |
Addresses
Primary practice location
1128 Fort Campbell Blvd
Clarksville, TN 37042-6450
Mailing address
2007 Monterey PL
Clarksville, TN 37043-5017
Phone (931) 249-5837
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37482 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1457790537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 MONTEREY PL",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435017",
"telephone_number": "931-249-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 FORT CAMPBELL BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426450",
"telephone_number": "931-905-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-21",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "37482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.