Active NPI
Jodi Slaton Gaines, PHARMD
- Pharmacist
- Pulaski, TN
National Provider Identifier
1093981565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12144
- Practice address
- 125 N 1St St
Pulaski, TN 38478-3214 - Phone
- (931) 363-2561
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12144 | TN | Primary |
Addresses
Primary practice location
125 N 1St St
Pulaski, TN 38478-3214
Mailing address
260 Aymett Ridge Rd
Pulaski, TN 38478-7127
Phone (931) 424-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12144 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1093981565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 AYMETT RIDGE RD",
"city": "PULASKI",
"state": "TN",
"postal_code": "384787127",
"telephone_number": "931-424-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 1ST ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783214",
"telephone_number": "931-363-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "JODI",
"middle_name": "SLATON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.