Active NPI
Jenna Tate, PHARMD
- Pharmacist
- Nashville, TN
National Provider Identifier
1316675002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46690
- Practice address
- 2620 Elm Hill Pike
Nashville, TN 37214-3100 - Phone
- (302) 858-7877
- NPI assigned
- Aug 10, 2022
- 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 | 46690 | TN | Primary |
Addresses
Primary practice location
2620 Elm Hill Pike
Nashville, TN 37214-3100
Mailing address
1028 Saddlestone Dr
Hermitage, TN 37076-2971
Phone (302) 858-7877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311569568 | Other | TAX ID |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jenna.tate@stores.Kroger.com | Direct | |
| Direct Messaging Address | Jenna.tate@storea.Kroger.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 46690 | TN | MD | Pharmacist |
Interoperability endpoints
- jenna.tate@storea.kroger.com
- jenna.tate@stores.kroger.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1316675002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 SADDLESTONE DR",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762971",
"telephone_number": "302-858-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143100",
"telephone_number": "302-858-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "JENNA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TN",
"license": "46690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311569568",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jenna.tate@stores.Kroger.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2620 Elm Hill Pike",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372143100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jenna.tate@storea.Kroger.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2620 Elm Hill Pike",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372143100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.