Jessica Carpenter, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42132 Issued in TN

Practice address

1600 N Jackson St Ste 340
Tullahoma, TN 37388-2471

Phone

(931) 408-6380

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Publix Tennessee, LLC

  • Community/Retail Pharmacy
  • Tullahoma, TN
  • NPI 1588141899
  NPD
• Publix Tennessee LLC

  • Community/Retail Pharmacy
  • Smyrna, TN
  • NPI 1437199874
  NPD (past)
• Publix Tennessee, LLC

  • Community/Retail Pharmacy
  • Farragut, TN
  • NPI 1639042229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1003302209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 JOSHUA CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294031",
            "telephone_number": "615-785-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N JACKSON ST STE 340",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882471",
            "telephone_number": "931-408-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JESSICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenic Michael Canonico, M.D.
• Herbert Cantrell
• Cardiology & Vascular Associates
• Cardiology Group, PC
• Caris Healthcare
• Mark Allen Carrick
• Phillip Sean Carroll, DPT
• Kristina Danette Carter, PHARM D
• Cataract Care, PLLC
• Aubrey Martin Cawthon Jr., PAC

• All providers in Tullahoma, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.