Healthcare Provider Details

I. General information

NPI: 1124651021
Provider Name (Legal Business Name): CHAD PIERRON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 25TH AVE N STE 201
NASHVILLE TN
37203-1593
US

IV. Provider business mailing address

6501 HARDING PIKE APT O11
NASHVILLE TN
37205-4019
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-5029
  • Fax:
Mailing address:
  • Phone: 740-352-1905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41768
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: