MEDICARE: MICHELE CUNG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	29935	MD
2	183500000X	Pharmacist	PH1000786	MA
3	183500000X	Pharmacist	49054	TN

General Provider Information

NPI Number	:	1568308385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE CUNG PHARMD

Provider Business Mailing Address
First Line	:	661 WEDGEWOOD AVE APT 418
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-6465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-5676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ MICHELE CUNG PHARMD” Practice Location

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