Active NPI
Bridgette Vestal, PHARMD
- Pharmacist
- Sweetwater, TN
National Provider Identifier
1962833913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11712
- Practice address
- 935 State Hwy 11 South
Sweetwater, TN 37874 - Phone
- (423) 337-3052
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11712 | TN | Primary |
Addresses
Primary practice location
935 State Hwy 11 South
Sweetwater, TN 37874
Mailing address
935 State Hwy 11 South
Sweetwater, TN 37874
Phone (423) 337-3052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11712 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1962833913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 STATE HWY 11 SOUTH",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "37874",
"telephone_number": "423-337-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 STATE HWY 11 SOUTH",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "37874",
"telephone_number": "423-337-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESTAL",
"first_name": "BRIDGETTE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.