Active NPI
Jessica Nicole Paullet, PHARM.D.
- Pharmacist
- Hermitage, TN
National Provider Identifier
1104268424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37560
- Practice address
- 4001 Central Pike
Hermitage, TN 37076-3156 - Phone
- (615) 874-8399
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 37560 | TN | Primary |
Addresses
Primary practice location
4001 Central Pike
Hermitage, TN 37076-3156
Mailing address
308 Sweetwater CT
Brentwood, TN 37027-7873
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1104268424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SWEETWATER CT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 CENTRAL PIKE",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370763156",
"telephone_number": "615-874-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULLET",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "37560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.