Bonnie Rhodes Granahan, R.PH.
Individual provider Active NPI Pharmacist · Smyrna, TN
NPI 1982990180 · NPPES record last updated Jun 26, 2011
Key facts
- NPI
- 1982990180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14071 (TN)
- Practice address
- 803 Industrial Blvd
T-2360
Smyrna, TN 37167-6865 - Phone
- (615) 768-3018
- Fax
- (615) 768-3028
- NPI assigned
- Jun 26, 2011
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14071 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14071 | TN | Yes |
Addresses
Primary practice location
803 Industrial Blvd
T-2360
Smyrna, TN 37167-6865
Mailing address
803 Industrial Blvd
T-2360
Smyrna, TN 37167-6865
Phone (615) 768-3018
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2011. 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.