Active NPI
Cynthia Suzette Phillips, D.PH.
- Pharmacist
- Jackson, TN
National Provider Identifier
1225340730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5612
- Practice address
- 384 Oil Well Rd
Jackson, TN 38305-7929 - Phone
- (731) 661-1072
- NPI assigned
- Jul 13, 2010
- 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 | 5612 | TN | Primary |
Addresses
Primary practice location
384 Oil Well Rd
Jackson, TN 38305-7929
Mailing address
1 Quail Creek Dr
Jackson, TN 38305-8867
Phone (731) 661-1072
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5612 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1225340730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 QUAIL CREEK DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383058867",
"telephone_number": "731-661-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 OIL WELL RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057929",
"telephone_number": "731-661-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CYNTHIA",
"middle_name": "SUZETTE",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.