Provider Demographics
NPI:1629301031
Name:BILLINGSBY, TERRY L (RPH)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:L
Last Name:BILLINGSBY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5811 SHADY OAKS LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-1249
Mailing Address - Country:US
Mailing Address - Phone:423-943-8999
Mailing Address - Fax:
Practice Address - Street 1:5811 SHADY OAKS LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-1249
Practice Address - Country:US
Practice Address - Phone:423-943-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2022-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5396183500000X
FL54241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist