Individual provider Active NPI

Chelsey Gillespie

  • Pharmacist
  • Lakeland, FL
National Provider Identifier
1033569256
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40257 Issued in TN
Practice address
3300 Publix Corporate Pkwy
Lakeland, FL 33811-3311
Phone
(800) 242-1227
NPI assigned
Jun 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40257 TN Primary

Addresses

Primary practice location

3300 Publix Corporate Pkwy
Lakeland, FL 33811-3311

Mailing address

615 Lenox PL
Apt 615
Goodlettsville, TN 37072-1887

Other identifiers 1

IdentifierTypeStateIssuer
40257OtherTNTENNESSEE PHARMACY LICENSE NUMBER

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

LicenseStateTypeSpecialty
40257TNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1033569256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LENOX PL",
            "address_2": "APT 615",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PUBLIX CORPORATE PKWY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113311",
            "telephone_number": "800-242-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CHELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE PHARMACY LICENSE NUMBER",
            "identifier": "40257",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.