Active NPI
Brenda Lee McIntyre, DPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lebanon, TN
National Provider Identifier
1538364690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 9033
- Practice address
- 1418 W Main St
Lebanon, TN 37087-4824 - Phone
- (615) 449-4653
- NPI assigned
- Jun 19, 2007
- Last updated
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9033 | TN | |
| Pharmacist | 183500000X | RP036790L | PA | |
| Pharmacist | 183500000X | RP0004916 | WV | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9033 | TN | Primary |
Addresses
Primary practice location
1418 W Main St
Lebanon, TN 37087-4824
Mailing address
697 Goshen Rd
Lebanon, TN 37087-6318
Phone (615) 453-0186
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9033 | TN | MD | Dentist |
| RP036790L | PA | MD | Pharmacist |
| RP0004916 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1538364690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 GOSHEN RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370876318",
"telephone_number": "615-453-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 W MAIN ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874824",
"telephone_number": "615-449-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9033",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036790L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0004916",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TN",
"license": "9033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.