Active NPI
Tonya Lynn Gantt
- Pharmacist
- Boiling Springs, NC
National Provider Identifier
1356617880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14479
- Practice address
- 105 East College Avenue
Boiling Springs, NC 28017 - Phone
- (704) 434-6560
- Fax
- (704) 434-5389
- NPI assigned
- Mar 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14479 | NC | Primary |
Addresses
Primary practice location
105 East College Avenue
Boiling Springs, NC 28017
Mailing address
150 Sir Gregory Dr
Shelby, NC 28152-7718
Phone (704) 434-8759
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 |
|---|---|---|---|
| 14479 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1356617880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SIR GREGORY DR",
"city": "SHELBY",
"state": "NC",
"postal_code": "281527718",
"telephone_number": "704-434-8759",
"fax_number": "704-434-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 EAST COLLEGE AVENUE",
"city": "BOILING SPRINGS",
"state": "NC",
"postal_code": "28017",
"telephone_number": "704-434-6560",
"fax_number": "704-434-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "TONYA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.