Melissa Autry, PHARMD

Individual provider Active NPI Pharmacist · Arlington, TN

NPI 1851909030 · NPPES record last updated Jul 14, 2020

Key facts

NPI
1851909030
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
38392 (TN)
Practice address
5847 Airline Rd Ste 109
Arlington, TN 38002-5132
Phone
(901) 586-1010
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
38392TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Apothecary Inc Current
since Jul 27, 2020
Accepting new patients

Locations

5847 Airline Rd
Ste 109
Arlington, TN 38002
Phone (901) 586-1010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38392 TN Yes

Addresses

Primary practice location

5847 Airline Rd Ste 109
Arlington, TN 38002-5132

Mailing address

112 Country Club Rd
Brownsville, TN 38012-6824
Phone (731) 413-7453

Other providers in Arlington, TN

All providers in Arlington, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.