Active NPI
Kay C Gammill
- Geriatric Pharmacist
- Memphis, TN
National Provider Identifier
1184215246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 65432
- Practice address
- 5055 Covington Way Ste 6
Memphis, TN 38134-5699 - Phone
- (901) 383-8447
- NPI assigned
- Feb 1, 2021
- Last updated
- Feb 1, 2021
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | D-07462 | MS | |
| Geriatric Pharmacist | 1835G0303X | 65432 | TN | Primary |
Addresses
Primary practice location
5055 Covington Way Ste 6
Memphis, TN 38134-5699
Mailing address
1165 River Fall CV
Memphis, TN 38120-2614
Phone (901) 604-1438
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | VPN | Direct | Omnicare Memphis |
| Other URL | VPN | Direct | Omnicare Memphis |
| Other URL | VPN | Direct | Omnicare Memphis |
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 |
|---|---|---|---|
| D-07462 | MS | MD | Geriatric Pharmacist |
| 65432 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NCS Healthcare of Tennessee, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Omnicare of Memphis #48346
- Long Term Care Pharmacy
- Memphis, TN
- NPI 1437163466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1184215246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 RIVER FALL CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202614",
"telephone_number": "901-604-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 COVINGTON WAY STE 6",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381345699",
"telephone_number": "901-383-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMILL",
"first_name": "KAY",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MS",
"license": "D-07462",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TN",
"license": "65432",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "VPN",
"affiliation": "Y",
"affiliationName": "Omnicare Memphis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5055 Covington Way Ste 6",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381345699",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "VPN",
"affiliation": "Y",
"affiliationName": "Omnicare Memphis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5055 Covington Way Ste 6",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381345699",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "VPN",
"affiliation": "Y",
"affiliationName": "Omnicare Memphis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5055 Covington Way Ste 6",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381345699",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.