Individual provider Active NPI

Crystal Gail Kirkendol, PHARMD

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1629400742
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36699 Issued in TN
Practice address
1044 Nunnery Lane
Nashville, TN 37221-6626
Phone
(203) 376-1337
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36699 TN Primary

Addresses

Primary practice location

1044 Nunnery Lane
Nashville, TN 37221-6626

Mailing address

1044 Nunnery Lane
Nashville, TN 37221
Phone (203) 376-1337

Other names 1

  • Miss Crystal Gail Moir 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

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1629400742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NUNNERY LANE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37221",
            "telephone_number": "203-376-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NUNNERY LANE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216626",
            "telephone_number": "203-376-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKENDOL",
        "first_name": "CRYSTAL",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "MOIR",
            "middle_name": "GAIL",
            "prefix": "MISS",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 31, 2013; 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.