Aubrey Nunley
Individual provider Active NPI Pharmacist · Palmer, TN
NPI 1669926275 · NPPES record last updated Dec 6, 2019
Key facts
- NPI
- 1669926275
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43433 (TN)
- Practice address
- 571 Main St
Palmer, TN 37365-2531 - Phone
- (931) 779-3966
- NPI assigned
- Aug 11, 2016
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43433 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43433 | TN | Yes |
Addresses
Primary practice location
571 Main St
Palmer, TN 37365-2531
Mailing address
PO Box 70
Palmer, TN 37365-0070
Phone (931) 625-3151
Other providers in Palmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2019. 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.