Active NPI
Luis Enrique Medina, PHARM D
- Pharmacist
- Brentwood, TN
National Provider Identifier
1851638993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37125
- Practice address
- 8105 Moores LN
Brentwood, TN 37027-8020 - Phone
- (615) 636-8217
- NPI assigned
- Jan 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37125 | TN | Primary |
| Pharmacist | 183500000X | 36977 | FL |
Addresses
Primary practice location
8105 Moores LN
Brentwood, TN 37027-8020
Mailing address
8105 Moores LN
Brentwood, TN 37027-8020
Phone (615) 636-8217
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 |
|---|---|---|---|
| 36977 | FL | MD | Pharmacist |
| 37125 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1851638993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8105 MOORES LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278020",
"telephone_number": "615-636-8217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8105 MOORES LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278020",
"telephone_number": "615-636-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "LUIS",
"middle_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "37125",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "36977",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.