Christopher Daniel Kincaid, PHARMD
Individual provider Active NPI Pharmacist · Gray, TN
NPI 1831532795 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1831532795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 34403 (TN)
- Practice address
- 125 Judge Gresham Rd
Gray, TN 37615-6242 - Phone
- (423) 467-0023
- NPI assigned
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34403 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34403 | TN | Yes |
Addresses
Primary practice location
125 Judge Gresham Rd
Gray, TN 37615-6242
Mailing address
125 Judge Gresham Rd
Gray, TN 37615-6242
Phone (423) 467-0023
Other providers in Gray, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.