Adam Forrest Brandon, PHARMACIST
Individual provider Active NPI Pharmacist · Red Bank, TN
NPI 1932625845 · NPPES record last updated Aug 22, 2017
Key facts
- NPI
- 1932625845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0000041206 (TN)
- Practice address
- 3901 Dayton Blvd
Red Bank, TN 37415-2715 - Phone
- (423) 877-9516
- NPI assigned
- Aug 22, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000041206 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000041206 | TN | Yes |
Addresses
Primary practice location
3901 Dayton Blvd
Red Bank, TN 37415-2715
Mailing address
3901 Dayton Blvd
Red Bank, TN 37415-2715
Phone (423) 877-9516
Other providers in Red Bank, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2017. 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.