Active NPI
Sandra M. Kennel, RPH PHARMD
- Nutrition Support Pharmacist
- Nashville, TN
National Provider Identifier
1700896362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 7691
- Practice address
- 1310 24TH Ave S
Nashville, TN 37212-2637 - Phone
- (615) 327-4751
- Fax
- (615) 321-6310
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 7691 | TN | Primary |
| Pharmacist | 183500000X | 7691 | TN |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37212-2637
Mailing address
4437 S Trace Blvd
Old Hickory, TN 37138-4206
Phone (615) 847-4213
Other names 1
- Dr. Sandra A. Mrochek
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7691 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1700896362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4437 S TRACE BLVD",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "371384206",
"telephone_number": "615-847-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-327-4751",
"fax_number": "615-321-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEL",
"first_name": "SANDRA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "RPH PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "TN",
"license": "7691",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "MROCHEK",
"middle_name": "A.",
"prefix": "DR.",
"credential": "RPH,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 Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.