Active NPI
Nicholas Michael Dibisceglie, PHARMD, MMHC
- Pharmacotherapy Pharmacist
- Tullahoma, TN
National Provider Identifier
1922915016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 48052
- Practice address
- 1801 N Jackson St
Tullahoma, TN 37388-2201 - Phone
- (931) 393-3000
- NPI assigned
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 48052 | TN | Primary |
Addresses
Primary practice location
1801 N Jackson St
Tullahoma, TN 37388-2201
Mailing address
345 Sturdee Cir
Smyrna, TN 37167-2281
Phone (615) 322-0804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1922915016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 STURDEE CIR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371672281",
"telephone_number": "615-322-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882201",
"telephone_number": "931-393-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBISCEGLIE",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"credential": "PHARMD, MMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "48052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.