Active NPI
Melissa Gamble, PHARM.D, RPH
- Pharmacist
- Mount Juliet, TN
National Provider Identifier
1083997233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37822
- Practice address
- 11185 Lebanon Rd
Mount Juliet, TN 37122-5542 - Phone
- (615) 773-4034
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024254A | IN | |
| Pharmacist | 183500000X | 37822 | TN | Primary |
Addresses
Primary practice location
11185 Lebanon Rd
Mount Juliet, TN 37122-5542
Mailing address
11185 Lebanon Rd
Mount Juliet, TN 37122-5542
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024254A | IN | MD | Pharmacist |
| 37822 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1083997233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11185 LEBANON RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371225542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11185 LEBANON RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371225542",
"telephone_number": "615-773-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "PHARM.D, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26024254A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "37822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.