David Michael Hurley, PHARMD, MBA
Individual provider Active NPI Pharmacist · Blountville, TN
NPI 1811286172 · NPPES record last updated Dec 24, 2020
Key facts
- NPI
- 1811286172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23980 (TN)
- Practice address
- 1921 Highway 394
Blountville, TN 37617-5454 - Phone
- (423) 323-3312
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- No
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23980 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K VA T Food Stores Inc | Past |
Accepting new patients | |
| K VA T Food Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23980 | TN | Yes |
Addresses
Primary practice location
1921 Highway 394
Blountville, TN 37617-5454
Mailing address
1921 Highway 394
Blountville, TN 37617-5454
Phone (423) 323-3312
Other providers in Blountville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2020. 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.