Alyssa Carrico Klingensmith, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Thompsons Station, TN

NPI 1932829793 · NPPES record last updated Aug 31, 2022

Key facts

NPI
1932829793
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
46396 (TN)
Practice address
4726 Traders Way
Thompsons Station, TN 37179-5366
Phone
(615) 791-5346
NPI assigned
Aug 31, 2022
Sex
Female
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
46396TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 46396 TN Yes

Addresses

Primary practice location

4726 Traders Way
Thompsons Station, TN 37179-5366

Mailing address

2682 Paddock Park Dr
Thompsons Station, TN 37179-3003
Phone (623) 692-7052

Other providers in Thompsons Station, TN

All providers in Thompsons Station, TN · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

Sources for this page

Verify at the official NPI Registry.