DR. LAURA NICOLE BULLOCK PHARM.D.
NPI 1366430613
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Knoxville, TN

Active since October 11, 2005PECOS Enrolled
1940 ALCOA HWY STE E180, KNOXVILLE, TN 37920(865) 544-2800 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Laura Nicole Bullock Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAURA NICOLE BULLOCK PHARM.D. (NPI 1366430613) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Knoxville, Tennessee, licensed in Tennessee (22088) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1366430613
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. LAURA NICOLE BULLOCKCredential: PHARM.D.
Location Address1940 ALCOA HWY STE E180Knoxville, TN 37920-2263
Mailing Address1924 Alcoa Hwy, Box U-41Knoxville, TN 37920-1511
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1366430613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in TN · 22088
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 0000022088 (TN)
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 22088 (TN)
1940 ALCOA HWY STE E180, Knoxville, TN 37920

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Laura Nicole Bullock Pharm.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325539521
PECOS Enrollment IDI20251117000377
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1940 ALCOA HWY STE E180
KNOXVILLE, TN 37920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Bullock's NPI number?

The NPI number for Laura Bullock is 1366430613. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Laura Bullock located?

Laura Bullock practices at 1940 Alcoa Hwy Ste E180, Knoxville, TN 37920. The listed phone number is (865) 544-2800.

What is Laura Bullock's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Is Laura Bullock enrolled in Medicare?

Yes. Laura Bullock is registered in the Medicare PECOS enrollment system.

What insurance does Laura Bullock accept?

Health plans from BlueCross BlueShield of Tennessee list Laura Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laura Bullock was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.