Active NPI
Victor Ikechukwu Emmanuel, PHARMD
- Pharmacist
- Nashville, TN
National Provider Identifier
1669089041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44173
- Practice address
- 107 Charles E Davis Blvd # 2745
Nashville, TN 37210-2745 - Phone
- (615) 346-3866
- NPI assigned
- Sep 29, 2020
- Sex
- Male
- 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 | 44173 | TN | Primary |
Addresses
Primary practice location
107 Charles E Davis Blvd # 2745
Nashville, TN 37210-2745
Mailing address
PO Box 110166
Nashville, TN 37222-0166
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 |
|---|---|---|---|
| 44173 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1669089041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110166",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372220166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHARLES E DAVIS BLVD # 2745",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372102745",
"telephone_number": "615-346-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMANUEL",
"first_name": "VICTOR",
"middle_name": "IKECHUKWU",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "44173",
"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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.