1871825463 NPI number — RHONITA E BELLAMY PHARM. D., RPH

Table of content: RHONITA E BELLAMY PHARM. D., RPH (NPI 1871825463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871825463 NPI number — RHONITA E BELLAMY PHARM. D., RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELLAMY
Provider First Name:
RHONITA
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARM. D., RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MITCHELL
Provider Other First Name:
RHONITA
Provider Other Middle Name:
B
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARM. D, RPH
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1871825463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1301 MEDICAL CENTER DR
Provider Second Line Business Mailing Address:
SUITE B-722
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37232-0028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-936-6394
Provider Business Mailing Address Fax Number:
615-343-4868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
SUITE B-722
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-0028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-936-6394
Provider Business Practice Location Address Fax Number:
615-343-4868
Provider Enumeration Date:
02/05/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PS45412 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 183500000X , with the licence number: 36721 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)