Provider Demographics
NPI:1154213130
Name:COLEMAN, DESTINY DENISE (PHARMD)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:DENISE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6820 OLD BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38002-7429
Mailing Address - Country:US
Mailing Address - Phone:901-736-3238
Mailing Address - Fax:
Practice Address - Street 1:5995 STAGE RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-8378
Practice Address - Country:US
Practice Address - Phone:901-385-7097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist