Robin Burris, RPH

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

NPI 1962862961 · NPPES record last updated Feb 6, 2020

Key facts

NPI
1962862961
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
39408 (TN)
Practice address
8039 US Highway 51 N
Millington, TN 38053-1730
Phone
(901) 872-0167
Fax
(901) 872-0176
NPI assigned
Mar 3, 2016
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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
39408TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39408 TN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 39408 TN Yes

Addresses

Primary practice location

8039 US Highway 51 N
Millington, TN 38053-1730

Mailing address

8039 US Highway 51 N
Millington, TN 38053-1730
Phone (901) 872-0167

Other identifiers

IdentifierTypeStateIssuer
39408OtherTNTENNESSEE PHARMACY LICENSE

Other providers in Millington, TN

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

Sources for this page

Verify at the official NPI Registry.