Bryan Fields, PHARM.D.

Individual provider Active NPI Pharmacist · South Williamson, KY

NPI 1821482555 · NPPES record last updated Mar 19, 2015

Key facts

NPI
1821482555
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
014128 (KY)
Practice address
28093 Thompson Plaza
Food City Pharmacy
South Williamson, KY 41503-2719
Phone
(606) 237-1175
Fax
(606) 237-7491
NPI assigned
Mar 19, 2015
Sex
Male
Sole proprietor
Yes

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
014128KYMDPharmacist
RP0007229WVMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 014128 KY Yes
Pharmacist 183500000X RP0007229 WV

Addresses

Primary practice location

28093 Thompson Plaza
Food City Pharmacy
South Williamson, KY 41503-2719

Mailing address

PO Box 2719
Food City Pharmacy
South Williamson, KY 41503-2719
Phone (606) 237-1175

Other providers in South Williamson, KY

All providers in South Williamson, KY · Pharmacist in Kentucky

Sources for this page

Verify at the official NPI Registry.