Brittany Bumgarner, PHARM.D

Individual provider Active NPI Pharmacist · Clemmons, NC

NPI 1629449111 · NPPES record last updated Oct 9, 2015

Key facts

NPI
1629449111
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
25221 (NC)
Practice address
3633 Clemmons Rd
Clemmons, NC 27012-8725
Phone
(828) 455-1363
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
25221NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25221 NC Yes

Addresses

Primary practice location

3633 Clemmons Rd
Clemmons, NC 27012-8725

Mailing address

3633 Clemmons Rd
Clemmons, NC 27012-8725

Other providers in Clemmons, NC

All providers in Clemmons, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.