Phyllis McCarty Allen
Individual provider Active NPI Pharmacist · Germantown, TN
NPI 1487930277 · NPPES record last updated Oct 25, 2011
Key facts
- NPI
- 1487930277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11890 (TN)
- Practice address
- 7650 West Farmington Blvd
Germantown, TN 38138 - Phone
- (901) 754-8400
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 22520 | TX | MD | Clinical Social Worker |
| 11890 | TN | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11890 | TN | Yes |
| Pharmacist | 183500000X | 22520 | TX |
Addresses
Primary practice location
7650 West Farmington Blvd
Germantown, TN 38138
Mailing address
7650 West Farmington Blvd
Germantown, TN 38138
Phone (901) 754-8400
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2011. 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.