Jennifer Gray
Individual provider Active NPI Pharmacist · Shelbyville, TN
NPI 1144503202 · NPPES record last updated Sep 26, 2011
Key facts
- NPI
- 1144503202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35850 (TN)
- Practice address
- 826 N Main St
Shelbyville, TN 37160-2845 - Phone
- (931) 680-4725
- Fax
- (931) 680-7285
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loretto Drugs L L C | Current | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35850 | TN | Yes |
Addresses
Primary practice location
826 N Main St
Shelbyville, TN 37160-2845
Mailing address
48 Liberty Rd
Fayetteville, TN 37334-6975
Phone (931) 993-5075
Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.