Shaun Paul Lynch, PHARMD
Individual provider Active NPI Pharmacist · Caryville, TN
NPI 1851850499 · NPPES record last updated Mar 13, 2019
Key facts
- NPI
- 1851850499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 38287 (TN)
- Practice address
- 1439 Bruce Gap Rd
Caryville, TN 37714-3832 - Phone
- (423) 912-6210
- NPI assigned
- Mar 13, 2019
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170358 | TN | MD | Registered Nurse |
| 38287 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 170358 | TN | |
| Pharmacist | 183500000X | 38287 | TN | Yes |
Addresses
Primary practice location
1439 Bruce Gap Rd
Caryville, TN 37714-3832
Mailing address
1439 Bruce Gap Rd
Caryville, TN 37714-3832
Other providers in Caryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 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.