Active NPI
Tina Mauk Gregg, DPH
- Pharmacist
- Chelsea, AL
National Provider Identifier
1952685166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11654
- Practice address
- 16468 Highway 280
Chelsea, AL 35043-8336 - Phone
- (205) 678-9288
- Fax
- (205) 678-9291
- NPI assigned
- Oct 6, 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 | 11654 | AL | Primary |
| Pharmacist | 183500000X | 7784 | TN |
Addresses
Primary practice location
16468 Highway 280
Chelsea, AL 35043-8336
Mailing address
250 Stonegate Dr
Birmingham, AL 35242-7057
Phone (205) 699-7284
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 |
|---|---|---|---|
| 11654 | AL | MD | Pharmacist |
| 7784 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1952685166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 STONEGATE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352427057",
"telephone_number": "205-699-7284",
"fax_number": "205-699-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16468 HIGHWAY 280",
"city": "CHELSEA",
"state": "AL",
"postal_code": "350438336",
"telephone_number": "205-678-9288",
"fax_number": "205-678-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "TINA",
"middle_name": "MAUK",
"name_prefix": "Mrs.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11654",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.