Robert Brink
Individual provider Active NPI Pharmacist · Ashland City, TN
NPI 1831521657 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1831521657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37774 (TN)
- Practice address
- 315 S Main St
Ashland City, TN 37015-1507 - Phone
- (615) 792-2269
- NPI assigned
- Aug 2, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37774 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37774 | TN | Yes |
Addresses
Primary practice location
315 S Main St
Ashland City, TN 37015-1507
Mailing address
1164 Neptune Rd
Ashland City, TN 37015-6162
Other providers in Ashland City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. 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.