Marty Gentry, PHARM D.
Individual provider Active NPI Pharmacist · Kingston Springs, TN
NPI 1487735585 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487735585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11668 (TN)
- Practice address
- 111 West Kingston Springs Road
Suite 103
Kingston Springs, TN 37082 - Phone
- (615) 952-3690
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11668 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Pharmacy Care Inc | Past | Accepting new patients | |
| Eyes on Diabetes PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11668 | TN | Yes |
Addresses
Primary practice location
111 West Kingston Springs Road
Suite 103
Kingston Springs, TN 37082
Mailing address
1209 Shelby Ave
Nashville, TN 37206-3031
Other providers in Kingston Springs, TN
- Columbia Medical Group - the Frist Clinic Inc
- Community Pharmacy Care Inc
- Zachary Andrew Crowe
- Dickson Medical Associates, PC
- Gayden McFarlin Fite
- Jenny Lynna' Gibbs Hall
- Harpeth Valley Behavioral Therapy
- Kendice Hartnell
- Victoria Ann Hodges
- Kirstin Bess Howell
All providers in Kingston Springs, TN · Pharmacist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.