Active NPI
John P Kelsey III, PHARMD
- Pharmacist
- Dickson, TN
National Provider Identifier
1760730972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29603
- Practice address
- 127 Crestview PL Ste 100
Dickson, TN 37055-1067 - Phone
- (615) 446-8043
- NPI assigned
- Aug 17, 2012
- 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 | 29603 | TN | Primary |
Addresses
Primary practice location
127 Crestview PL Ste 100
Dickson, TN 37055-1067
Mailing address
328 Cottonwood CT
Clarksville, TN 37040-8553
Phone (901) 246-5399
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 |
|---|---|---|---|
| 29603 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1760730972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 COTTONWOOD CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370408553",
"telephone_number": "901-246-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PL STE 100",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551067",
"telephone_number": "615-446-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-17",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "29603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.