Healthcare Provider Details

I. General information

NPI: 1871206110
Provider Name (Legal Business Name): ZACHARY MICHAEL DREW RPH, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5544 OLD HICKORY BLVD
HERMITAGE TN
37076-2576
US

IV. Provider business mailing address

3535 BELL RD APT 203
NASHVILLE TN
37214-4750
US

V. Phone/Fax

Practice location:
  • Phone: 615-883-0332
  • Fax:
Mailing address:
  • Phone: 630-777-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number46810
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: