Individual provider Active NPI

Nanci Whaley Moody, PHARMD.

  • Pharmacist
  • Sevierville, TN
National Provider Identifier
1558668954
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26681 Issued in TN
Practice address
2453 Boyds Creek Hwy Ste 102
Sevierville, TN 37876-0676
Phone
(865) 428-7439
Fax
(865) 453-4515
NPI assigned
Feb 21, 2011
Last updated
Feb 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26681 TN Primary
Pharmacist 183500000X 15691 AL

Addresses

Primary practice location

2453 Boyds Creek Hwy Ste 102
Sevierville, TN 37876-0676

Mailing address

1205 Rachel St
Sevierville, TN 37876-0581
Phone (865) 428-1076

Other names 1

  • Nanci Paulene Whaley Former name

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

LicenseStateTypeSpecialty
15691ALMDPharmacist
26681TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1558668954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 RACHEL ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378760581",
            "telephone_number": "865-428-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 BOYDS CREEK HWY STE 102",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378760676",
            "telephone_number": "865-428-7439",
            "fax_number": "865-453-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "NANCI",
        "middle_name": "WHALEY",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "26681",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "WHALEY",
            "middle_name": "PAULENE",
            "credential": "PHARMD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.