Active NPI
Gwen Margrave Simmons, RPH
- Pharmacist
- Oak Ridge, TN
National Provider Identifier
1932476355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000003738
- Practice address
- 373 S Illinois Ave
Oak Ridge, TN 37830-6741 - Phone
- (865) 483-9825
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- 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 | 0000003738 | TN | Primary |
| Pharmacist | 183500000X | RPH020800 | GA |
Addresses
Primary practice location
373 S Illinois Ave
Oak Ridge, TN 37830-6741
Mailing address
P.O.Box 234
Harriman, TN 37748
Phone (865) 882-1675
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH020800 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1932476355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 234",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-882-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S ILLINOIS AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306741",
"telephone_number": "865-483-9825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "GWEN",
"middle_name": "MARGRAVE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000003738",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.