Marty Gentry, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

11668 Issued in TN

Practice address

111 West Kingston Springs Road
Suite 103
Kingston Springs, TN 37082

Phone

(615) 952-3690

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Community Pharmacy Care Inc

  dba Kingston Springs Pharmacy

  • Community/Retail Pharmacy
  • Kingston Springs, TN
  • NPI 1629177555
  NPD (past) Authorized official
• Eyes on Diabetes PLLC

  • Optometrist
  • Waverly, TN
  • NPI 1174972913
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487735585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SHELBY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEST KINGSTON SPRINGS ROAD",
            "address_2": "SUITE 103",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "37082",
            "telephone_number": "615-952-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MARTY",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Group - the Frist Clinic Inc (Frist Clinic Family Care)
• Community Pharmacy Care Inc (Kingston Springs Pharmacy)
• Zachary Andrew Crowe, DC
• Dickson Medical Associates, PC (DMA East Kingston Springs)
• Gayden McFarlin Fite, LPC-MHSP
• Jenny Lynna' Gibbs Hall, AG-ANCP-BC
• Harpeth Valley Behavioral Therapy
• Kendice Hartnell, CPM
• Victoria Ann Hodges, MSW
• Kirstin Bess Howell, HEALTH COACH

• Pharmacist in Kingston Springs, TN
• Providers in Kingston Springs, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.