Active NPI
Dale M Farris, DPH
- Pharmacist
- La Vergne, TN
National Provider Identifier
1003115247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3209
- Practice address
- 5145 Murfreesboro Rd
La Vergne, TN 37086-2713 - Phone
- (615) 535-9002
- NPI assigned
- Mar 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3209 | TN | Primary |
Addresses
Primary practice location
5145 Murfreesboro Rd
La Vergne, TN 37086-2713
Mailing address
5145 Murfreesboro Rd
La Vergne, TN 37086-2713
Phone (615) 535-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3209 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- La Vergne, TN
- NPI 1326203431
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1003115247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 MURFREESBORO RD",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370862713",
"telephone_number": "615-535-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 MURFREESBORO RD",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370862713",
"telephone_number": "615-535-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "DALE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "3209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vergne, TN
- Educating the Community Healing Outreach
- Jacquetta Monique Edwards-Malone, FNP-C
- Jerry P. Eledge, DPH
- Everside Health Coca-Cola Lavergne Roc
- Express Care, LLC
- Karina Fernandez, LCSW
- First Call Ambulance Service of South Central Tennessee, LLC.
- Jennifer Fogg
- Lisa Michelle Gardner
- Tierenney M Garrison, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.