Active NPI
Raymond J Krenzer
- Pharmacist
- Rogersville, TN
National Provider Identifier
1881751147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8147
- Practice address
- 4331 Highway 66 S
Wal-Mart Pharmacy
Rogersville, TN 37857-3145 - Phone
- (423) 272-9393
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8147 | TN | Primary |
Addresses
Primary practice location
4331 Highway 66 S
Wal-Mart Pharmacy
Rogersville, TN 37857-3145
Mailing address
3080 Federal Blvd
Morristown, TN 37814-2577
Phone (423) 312-1776
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8147 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881751147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 FEDERAL BLVD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378142577",
"telephone_number": "423-312-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 HIGHWAY 66 S",
"address_2": "WAL-MART PHARMACY",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378573145",
"telephone_number": "423-272-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRENZER",
"first_name": "RAYMOND",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.