Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Laura Nicole Bullock, PHARMD

Individual provider Pharmacotherapy Pharmacist · NPI 1366430613

Dr. Laura Nicole Bullock, PHARMD is an Undefined Non-Physician Type (Specify) in Knoxville, Tennessee. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2005
Specialties on file
3
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1940 Alcoa Hwy Ste E180
Knoxville, TN 37920-2263
Phone: (865) 544-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 22088 (TN)
Pharmacotherapy Pharmacist Taxonomy 1835P1200X · Licence 22088 (TN)
Pharmacist Taxonomy 183500000X · Licence 0000022088 (TN)

Record details

NPI number1366430613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 11, 2005
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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