=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760331706
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AARYN MICHAEL-JENNY BREWSTER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2026
-----------------------------------------------------
Last Update Date | 01/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 403 N STATE OF FRANKLIN RD
-----------------------------------------------------
City | JOHNSON CITY
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37604-6034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-431-7027
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 664 HENRY HARR RD
-----------------------------------------------------
City | BLOUNTVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37617-4931
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-431-7027
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 41498
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------