Blair Alysse Bryant, PHARMD
Individual provider Active NPI Pharmacist · Kimball, TN
NPI 1962901439 · NPPES record last updated Feb 9, 2018
Key facts
- NPI
- 1962901439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37664 (TN)
- Practice address
- 525 Kimball Crossing Dr
Kimball, TN 37347-5649 - Phone
- (423) 837-8671
- Fax
- (423) 837-6559
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37664 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37664 | TN | Yes |
Addresses
Primary practice location
525 Kimball Crossing Dr
Kimball, TN 37347-5649
Mailing address
525 Kimball Crossing Dr
Kimball, TN 37347-5649
Phone (423) 837-8671
Other providers in Kimball, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2018. 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.