Active NPI
Gary A Tener, R.PH.
- Pharmacist
- Paintsville, KY
National Provider Identifier
1760599369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011696
- Practice address
- 209-B North Mayo Trail
Paintsville, KY 41240-0305 - Phone
- (606) 789-5995
- Fax
- (606) 788-9275
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 011696 | KY | Primary |
Addresses
Primary practice location
209-B North Mayo Trail
Paintsville, KY 41240-0305
Mailing address
PO Box 305
Paintsville, KY 41240-0305
Phone (606) 789-5995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011696 | Other | KY | KENTUCKY STATE LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011696 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Med Inc | Past | Accepting new patients | |
| Value-Med Inc. | 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": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760599369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "412400305",
"telephone_number": "606-789-5995",
"fax_number": "606-788-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209-B NORTH MAYO TRAIL",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "412400305",
"telephone_number": "606-789-5995",
"fax_number": "606-788-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENER",
"first_name": "GARY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY STATE LICENSE",
"identifier": "011696",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paintsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.