Sherry Bolden, CPHT
Individual provider Active NPI Pharmacy Technician · Gray, TN
NPI 1477635845 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477635845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 290100104071955 (TN)
- Practice address
- 208 Suncrest St
Suite1
Gray, TN 37615-3494 - Phone
- (423) 477-3847
- Fax
- (423) 477-4392
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290100104071955 | TN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tritenn LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 290100104071955 | TN | Yes |
Addresses
Primary practice location
208 Suncrest St
Suite1
Gray, TN 37615-3494
Mailing address
112 Pineway Cir
Jonesborough, TN 37659-3810
Phone (423) 753-3875
Other providers in Gray, TN
- Kirk L Black
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Andrew Levi Blythe
- Bruce D Boggs
- Tina Bowman
- Sherry Brandon
- Abigail Brown
- Cydney Shea Bunn
- Melissa Gail Campbell
All providers in Gray, TN · Pharmacy Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.