Organization Active NPI

Engima Enterprises, Inc

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1457895344
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17482 Issued in TN
Legal business name
ENGIMA ENTERPRISES, INC
Doing business as
Apothecary Convenient Care
Practice address
226 11TH Ave S
Nashville, TN 37203-4021
Phone
(615) 645-9680
Fax
(615) 645-9782
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Traci M Poole, PHARM.D.NPI 1841423233
Title
Ceo
Phone
(615) 645-9680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835G0303X 35491 TN
Ambulatory Care PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P2201X 35491 TN
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 17482 TN Primary

Addresses

Primary practice location

226 11TH Ave S
Nashville, TN 37203-4021

Mailing address

226 11TH Ave S
Nashville, TN 37203-4021
Phone (615) 645-9680

Other names 1

  • Apothecary Convenient Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1457895344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 11TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034021",
            "telephone_number": "615-645-9680",
            "fax_number": "615-645-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 11TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034021",
            "telephone_number": "615-645-9680",
            "fax_number": "615-645-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGIMA ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-645-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "TN",
            "license": "35491",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TN",
            "license": "35491",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.