Individual provider Active NPI

Nickey L Mackey, DP

  • Pharmacist
  • Murfreesboro, TN
National Provider Identifier
1689912776
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000001916 Issued in TN
Practice address
4175 Franklin Rd
Murfreesboro, TN 37128-4119
Phone
(615) 494-3392
Fax
(615) 494-3487
NPI assigned
Jan 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 0000001916 TN Primary

Addresses

Primary practice location

4175 Franklin Rd
Murfreesboro, TN 37128-4119

Mailing address

4175 Franklin Rd
Murfreesboro, TN 37128-4119
Phone (615) 494-3392

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

State licenses

LicenseStateTypeSpecialty
0000001916TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Tennessee LLC Past Accepting new patients
Publix Tennessee, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1689912776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 FRANKLIN RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284119",
            "telephone_number": "615-494-3392",
            "fax_number": "615-494-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 FRANKLIN RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284119",
            "telephone_number": "615-494-3392",
            "fax_number": "615-494-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "NICKEY",
        "middle_name": "L",
        "credential": "DP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000001916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.