Healthcare Provider Details

I. General information

NPI: 1134582000
Provider Name (Legal Business Name): FELICIA TOMPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7942 WINCHESTER RD
MEMPHIS TN
38125-2306
US

IV. Provider business mailing address

548 WINOKA CV W
COLLIERVILLE TN
38017-3692
US

V. Phone/Fax

Practice location:
  • Phone: 901-758-3639
  • Fax:
Mailing address:
  • Phone: 901-596-6063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number30170
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number301070
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: