Provider Demographics
NPI:1316222870
Name:TUMMINS, TREVER CHASE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TREVER
Middle Name:CHASE
Last Name:TUMMINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 12TH AVE S APT 524
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6619
Mailing Address - Country:US
Mailing Address - Phone:615-419-7292
Mailing Address - Fax:
Practice Address - Street 1:600 12TH AVE S APT 524
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6619
Practice Address - Country:US
Practice Address - Phone:615-419-7292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist