Individual provider Active NPI

Carmen Dance, PHARMD

  • Pharmacist
  • Memphis, TN
National Provider Identifier
1063901221
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9586 Issued in TN
Practice address
7475 Winchester Rd
Memphis, TN 38125-2202
Phone
(901) 754-0865
Fax
(901) 754-5211
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9586 TN Primary

Addresses

Primary practice location

7475 Winchester Rd
Memphis, TN 38125-2202

Mailing address

7475 Winchester Rd
Memphis, TN 38125-2202
Phone (901) 754-0865

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
9586TNMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1063901221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252202",
            "telephone_number": "901-754-0865",
            "fax_number": "901-754-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252202",
            "telephone_number": "901-754-0865",
            "fax_number": "901-754-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCE",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.