DR. MACKENZIE GUSTAFSON (NPI# 1619581881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619581881 |
| Entity Type | Individual |
| Full Name | DR. MACKENZIE GUSTAFSON |
| Credential | PHARMD |
| Practice Address |
2500 Gallatin Ave Nashville TN 37206-3216 |
| Mailing Address |
1003 W Greenwood Ave Nashville TN 37206-3432 |
| Practice Telephone | 6152267591 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
36829 | TN | Pharmacy Service Providers |
| Street Address |
2500 GALLATIN AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37206-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659386654 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 Gallatin Ave, Nashville, TN 37206-3216 | 2006-07-29 |
| 1912510884 | Nicole Holmes | Pharmacist | 2500 Gallatin Ave, Nashville, TN 37206-3216 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675350 | Mary Alexandra Coleman | Marriage & Family Therapist | 807 B. Porter Rd, Nashville, TN 37206 | 2020-10-06 |
| 1316434061 | East Nashville Dental Partners | Dentist | 815 Gallatin Ave, Nashville, TN 37206 | 2018-04-18 |
| 1437664638 | Lanora Renae Pride | Behavior Technician | 250 S 5th St Ste 108, Nashville, TN 37206 | 2017-12-11 |
| 1447779012 | Christopher Robert Hohl | Physical Therapy Assistant | 1201 Roberta Street, Nashville, TN 37206 | 2017-09-14 |
| 1881130706 | Queen Elle Transportation | Non-emergency Medical Transport (VAN) | 646 Lenore St, Nashville, TN 37206 | 2017-01-17 |
| 1376994046 | Sarah Owen | Counselor | 604 Gallatin Ave Ste 100, Nashville, TN 37206 | 2016-06-23 |
| 1861832784 | Melissa Ann Williams | Speech-Language Pathologist | 635 Skyview Drive, Nashville, TN 37206 | 2013-06-25 |
| 1093002909 | Kimberly Amick Vandusen | Speech-Language Pathologist | 1915 Holly St, Nashville, TN 37206 | 2011-06-30 |
| 1215235346 | Prime Horzon Corporation | In Home Supportive Care | 144 6th North Street, Nashville, TN 37206 | 2011-03-15 |
| 1306098884 | Lora Ann Deckard-smart | Nurse Practitioner | 1515 Davidson Street, Nashville, TN 37206 | 2008-10-16 |
| Find all providers in zip 37206 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955561 | Joshua Hodge | Pharmacist | 1215 21st Aveneue South Suite 1006, Nashville, TN 37232-0001 | 2020-09-04 |
| 1851869531 | Jonathan Cobb | Pharmacist | 5410 Illinois Ave, Nashville, TN 37209-2115 | 2018-11-11 |
| 1730736083 | James Lloyd Zimmerly | Pharmacist | 292 S Van Buren St, Nashville, IN 47448-7038 | 2019-08-21 |
| 1235783473 | Tavajay Campbell | Pharmacist | 4928 Edmondson Pike Ste 205, Nashville, TN 37211-4791 | 2019-07-25 |
| 1003305475 | Diane Forbus | Pharmacist | 2421 Powell Ave, Nashville, TN 37204-4653 | 2018-05-01 |
| 1427598762 | Elisa Greene | Pharmacist | 820 Gale Ln, Nashville, TN 37204-3012 | 2017-03-06 |
| 1881046787 | Christopher Terry | Pharmacist | 726 Melrose Ave, Nashville, TN 37211-2151 | 2016-07-05 |
| 1427372432 | Casey A. Owen | Pharmacist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2010-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063099 | Sarah Darby | Pharmacist | 8920 Executive Park Dr Ste 100, Knoxville, TN 37923-4714 | 2020-08-17 |
| 1871140541 | Julia Percy | Pharmacist | 1005 Hunts Ln, Hendersonville, TN 37075-9742 | 2019-08-19 |
| 1003387077 | Manali Chetankumar Patel | Pharmacist | 3328 Lakewood Dr Nw, Cleveland, TN 37312-2099 | 2018-12-16 |
| 1588172100 | Wesley Drennon Bradford | Pharmacist | 979 E 3rd St Ste B-601, Chattanooga, TN 37403-2136 | 2018-01-17 |
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1972059764 | Ahmed Atyia | Pharmacist | 2811 W. Market St, Johnson City, TN 37604 | 2016-08-31 |
| 1548873060 | David Quenten Brannon II | Pharmacist | 2471 Jackson Ave, Memphis, TN 38108-3318 | 2020-08-25 |
| 1578181434 | Erika Gruber | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-07-08 |
| 1588287064 | Corey Cardwell | Pharmacist | 1014 S Chancery St, Mcminnville, TN 37110-3704 | 2020-05-19 |
| 1598395089 | Amy Metcalfe Smith | Pharmacist | 880 Madison Ave, Memphis, TN 38103-3409 | 2020-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.