Active NPI
Dewana Gayle King, PHARM.D.
- Pharmacist
- Nashville, TN
National Provider Identifier
1487845426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12046
- Practice address
- 2421 Lebanon Pike
Nashville, TN 37214-2412 - Phone
- (615) 885-4480
- Fax
- (615) 885-7723
- NPI assigned
- Aug 6, 2007
- 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 | 12046 | TN | Primary |
Addresses
Primary practice location
2421 Lebanon Pike
Nashville, TN 37214-2412
Mailing address
2421 Lebanon Pike
Nashville, TN 37214-2412
Phone (615) 885-4480
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 |
|---|---|---|---|
| 12046 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Nashville, TN
- NPI 1558378554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1487845426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 LEBANON PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142412",
"telephone_number": "615-885-4480",
"fax_number": "615-885-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 LEBANON PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142412",
"telephone_number": "615-885-4480",
"fax_number": "615-885-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEWANA",
"middle_name": "GAYLE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 6, 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.