Randy William Pennington, P.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

6054 Issued in TN

Practice address

1897 General George Patton Dr
Suite 112
Franklin, TN 37067-7250

Phone

(615) 791-8679

Fax

(615) 791-7666

NPI assigned

Feb 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1568784262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 GENERAL GEORGE PATTON DR",
            "address_2": "SUITE 112",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677250",
            "telephone_number": "615-791-8679",
            "fax_number": "615-791-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 GENERAL GEORGE PATTON DR",
            "address_2": "SUITE 112",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677250",
            "telephone_number": "615-791-8679",
            "fax_number": "615-791-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "RANDY",
        "middle_name": "WILLIAM",
        "credential": "P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "6054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467401315",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie M Pena, M.D.
• Clyde Morris Pence, MD
• David Stephen Pence, D.C.
• Jamia Pennington
• Katherine M Pennington, MA,CCC-SLP
• Javier Andres Pere
• Megan Elizabeth Pere, DPT
• Micheleigh Nicole Perez
• Performance Labs Inc
• Performance Vision Therapy, PLLC

• Pharmacist in Franklin, TN
• Providers in Franklin, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.