IndividualActive
Kevin Gregerson, RPH
NPI 1396209508 · Pharmacist · South Lake Tahoe, CA
Kevin Gregerson, RPH is a Pharmacist provider in South Lake Tahoe, CA (NPI 1396209508).
Provider details
- NPI number
- 1396209508
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 63727 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3471 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-8948
Phone: (530) 541-9477
Street-level locationGet directions
Mailing address
3471 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-8948
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2019-01-22
Frequently asked questions
- What is Kevin Gregerson's NPI number?
- Kevin Gregerson's National Provider Identifier (NPI) is 1396209508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Gregerson's specialty?
- Kevin Gregerson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kevin Gregerson located?
- Kevin Gregerson's practice location on file with NPPES is 3471 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-8948.
- What is Kevin Gregerson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Gregerson is (530) 541-9477.
- Is Kevin Gregerson's NPI active?
- Yes — Kevin Gregerson's NPI (1396209508) is active in the NPPES registry as of the last update on 2019-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.