Wenda Leanne Epperson, PHARMD
Individual provider Active NPI Pharmacist · New Tazewell, TN
NPI 1689174047 · NPPES record last updated Feb 12, 2018
Key facts
- NPI
- 1689174047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21805 (TN)
- Practice address
- 432 S Broad St
New Tazewell, TN 37825-7239 - Phone
- (423) 626-6555
- Fax
- (423) 626-1498
- NPI assigned
- Feb 12, 2018
- 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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21805 | TN | Yes |
Addresses
Primary practice location
432 S Broad St
New Tazewell, TN 37825-7239
Mailing address
432 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 626-6555
Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2018. 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.