DR. COREY D GRIMSHAW (NPI# 1669019188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669019188 |
| Entity Type | Individual |
| Full Name | DR. COREY D GRIMSHAW |
| Credential | PHARMD |
| Practice Address |
Tucker Pharmacy 2415 Fairview Blvd Fairview TN 37062-3706 |
| Mailing Address |
515 Madison St Apt 414 Nashville TN 37208-1686 |
| Practice Telephone | 6157990691 |
| Mailing Telephone | 8658043790 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202217951 | VA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
019917 | KY | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
40224 | TN | Pharmacy Service Providers |
| Street Address |
TUCKER PHARMACY 2415 FAIRVIEW BLVD |
| City | FAIRVIEW |
| State | TN |
| Zip Code | 37062-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| Find all providers in zip 37062 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1841822640 | Vip Pet Meds Inc | Pharmacist | 14675 Highway 194, Oakland, TN 38060-4133 | 2020-02-10 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1265929863 | Felicia Sells | Pharmacist | 2629 Decherd Blvd, Winchester, TN 37398-1166 | 2018-04-18 |
| 1588172449 | Tarmeshia Marable | Pharmacist | 2021 25th Ave N, Nashville, TN 37208-1305 | 2018-01-12 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1205358074 | Erica Brooke Schlesinger | Pharmacist | 500 Deaderick St, Nashville, TN 37243-0001 | 2017-07-12 |
| 1851823173 | Scott Denno | Pharmacist | 1406 Derby Trce, Nashville, TN 37211-7344 | 2017-03-28 |
| 1942660899 | Michael Bailey | Pharmacist | 1759 Union Ave, Memphis, TN 38104-6143 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.