Active NPI
Neil Wayne Carpenter, D.PH.
- Pharmacist
- Eagleville, TN
National Provider Identifier
1922009364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C5037
- Practice address
- 1005 South Main Street
Eagleville, TN 37060 - Phone
- (615) 274-6868
- Fax
- (615) 274-2324
- NPI assigned
- Aug 9, 2005
- Last updated
- Jun 29, 2010
- 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 | C5037 | TN | Primary |
Addresses
Primary practice location
1005 South Main Street
Eagleville, TN 37060
Mailing address
1005 South Main Street
P O Box 127
Eagleville, TN 37060
Phone (615) 274-6868
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 |
|---|---|---|---|
| C5037 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1922009364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SOUTH MAIN STREET",
"address_2": "P O BOX 127",
"city": "EAGLEVILLE",
"state": "TN",
"postal_code": "37060",
"telephone_number": "615-274-6868",
"fax_number": "615-274-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 SOUTH MAIN STREET",
"city": "EAGLEVILLE",
"state": "TN",
"postal_code": "37060",
"telephone_number": "615-274-6868",
"fax_number": "615-274-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "NEIL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "C5037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagleville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.