Individual provider Active NPI

Layla Sawan, PHARMD

  • Pharmacist
  • Jackson, TN
National Provider Identifier
1114556446
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202216997 Issued in VA
Practice address
1405 N Highland Ave
Jackson, TN 38301-3403
Phone
(731) 935-8303
NPI assigned
Apr 7, 2020
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202216997 VA Primary

Addresses

Primary practice location

1405 N Highland Ave
Jackson, TN 38301-3403

Mailing address

1405 N Highland Ave
Jackson, TN 38301-3403

Other identifiers 1

IdentifierTypeStateIssuer
0202216997OtherLICENSURE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Ehr
SOAP URL Ehr

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

LicenseStateTypeSpecialty
0202216997VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee CVS Pharmacy, L.L.C. PastSince Apr 17, 2020 Accepting new patients
Tennessee CVS Pharmacy LLC PastSince Apr 17, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1114556446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013403",
            "telephone_number": "731-935-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWAN",
        "first_name": "LAYLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202216997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "0202216997",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ehr",
            "affiliation": "N",
            "address_1": "1405 N Highland Ave",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383013403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Ehr",
            "affiliation": "N",
            "address_1": "1405 N Highland Ave",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383013403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.