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DR. KEVIN JASON GREGERSON RPH
NPI 1396209508
Pharmacist in South Lake Tahoe, CA

Active since January 22, 2019
3471 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 541-9477 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Jason Gregerson Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN JASON GREGERSON RPH (NPI 1396209508) is an individual pharmacist in South Lake Tahoe, California, licensed in California (63727) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1396209508
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KEVIN JASON GREGERSONCredential: RPH
Location Address3471 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-8948
Mailing Address3471 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-8948 · (530) 541-9477
Phone(530) 541-9477
Sole ProprietorYes
Enumeration DateJanuary 22, 2019
✔ NPI 1396209508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 63727
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3471 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONGS DRUG STORES CALIFORNIA LLC
Pharmacy
3471 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-9477
ZACHARY AKIO POWERS RPH
Pharmacist
3471 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-9477
DR. DALIA AGUILAR PHARMD.
Pharmacist
3471 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-9477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gregerson's NPI number?

The NPI number for Kevin Gregerson is 1396209508. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Kevin Gregerson located?

Kevin Gregerson practices at 3471 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-9477.

What is Kevin Gregerson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kevin Gregerson was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.