Active NPI
Jennifer Gray
- Pharmacist
- Shelbyville, TN
National Provider Identifier
1144503202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35850
- Practice address
- 826 N Main St
Shelbyville, TN 37160-2845 - Phone
- (931) 680-4725
- Fax
- (931) 680-7285
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35850 | TN | Primary |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35850 | TN | MD | Family Nurse Practitioner |
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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Loretto, TN
- NPI 1043225675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1144503202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 LIBERTY RD",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373346975",
"telephone_number": "931-993-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N MAIN ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602845",
"telephone_number": "931-680-4725",
"fax_number": "931-680-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "35850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, TN
- Glen Oaks Convalescent Center
- Glen Oaks Healthcare LLC (Glen Oaks Health and Rehabilitation)
- Glen Oaks, LLC (Glen Oaks Health and Rehabilitation)
- Glenoaks Rd Healthcare LLC (Adea Health & Rehab Center)
- Jamie Elise Gonzales, PA-C
- Jeremy Gray
- Carol A Green, RN
- Andre Gregory, DC MS
- Laura Bethany Griffin, PTA
- Zeke Parker Grissom, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.