Active NPI
Vinnie Kew, PHARMD
- Pharmacist
- Brentwood, TN
National Provider Identifier
1124578042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45074
- Practice address
- 5410 Maryland Way
Brentwood, TN 37027-5064 - Phone
- (855) 212-2273
- NPI assigned
- Oct 4, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302040565 | MI | |
| Pharmacist | 183500000X | 45074 | TN | Primary |
Addresses
Primary practice location
5410 Maryland Way
Brentwood, TN 37027-5064
Mailing address
2197 Highway 40
Lewisburg, TN 37091-6111
Phone (248) 210-6794
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302040565 | MI | MD | Pharmacotherapy Pharmacist |
| 45074 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1124578042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2197 HIGHWAY 40",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370916111",
"telephone_number": "248-210-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275064",
"telephone_number": "855-212-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEW",
"first_name": "VINNIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302040565",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.