Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Jason Gregerson, RPH

Individual provider Pharmacist · NPI 1396209508

Dr. Kevin Jason Gregerson, RPH is a Pharmacist in South Lake Tahoe, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

3471 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-8948
Phone: (530) 541-9477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 63727 (CA)

Record details

NPI number1396209508
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJanuary 22, 2019

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