Individual provider Active NPI

Brittenay Denise Tucker, RPH

  • Pharmacist
  • Kissimmee, FL
National Provider Identifier
1235881129
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63697 Issued in FL
Practice address
3001 Simpson Rd
Kissimmee, FL 34744-4680
Phone
(407) 344-4258
Fax
(407) 891-9579
NPI assigned
Jan 21, 2022
Last updated
Dec 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63697 FL Primary

Addresses

Primary practice location

3001 Simpson Rd
Kissimmee, FL 34744-4680

Mailing address

3001 Simpson Rd
Kissimmee, FL 34744-4680
Phone (407) 344-4258

Other practice location 1

4905 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-8724
Phone (407) 891-8371

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
63697FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1235881129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444680",
            "telephone_number": "407-344-4258",
            "fax_number": "407-891-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444680",
            "telephone_number": "407-344-4258",
            "fax_number": "407-891-9579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4905 E Irlo Bronson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347718724",
            "country_code": "US",
            "telephone_number": "407-891-8371",
            "fax_number": "407-891-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BRITTENAY",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "63697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; 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.