Active NPI
Jodie Marie Lasseter Tucker, PHARMD
- Pharmacist
- Hinesville, GA
National Provider Identifier
1184630287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020867
- Practice address
- 200 W Oglethorpe Hwy
Hinesville, GA 31313-3615 - Phone
- (912) 876-8125
- Fax
- (912) 876-4387
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- 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 | RPH020867 | GA | Primary |
Addresses
Primary practice location
200 W Oglethorpe Hwy
Hinesville, GA 31313-3615
Mailing address
516 Greenwich St
Richmond Hill, GA 31324
Phone (912) 756-8489
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 |
|---|---|---|---|
| RPH020867 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Pharmacy, Inc. | Pharmacist | Current | Accepting new patients |
Organizations & group practices 1
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": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184630287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 GREENWICH ST",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "31324",
"telephone_number": "912-756-8489",
"fax_number": "912-876-4387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313133615",
"telephone_number": "912-876-8125",
"fax_number": "912-876-4387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JODIE",
"middle_name": "MARIE LASSETER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.