Individual provider Active NPI

Jason M Vinson, PHARMD

  • Pharmacist
  • Germantown, TN
National Provider Identifier
1295385896
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13128 Issued in TN
Practice address
8590 Farmington Blvd Ste 5
Germantown, TN 38139-3365
Phone
(901) 756-0688
NPI assigned
Sep 16, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13128 TN Primary

Addresses

Primary practice location

8590 Farmington Blvd Ste 5
Germantown, TN 38139-3365

Mailing address

8590 Farmington Blvd Ste 5
Germantown, TN 38139-3365
Phone (901) 756-0688

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
13128TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Pulido DDS CurrentSince Jul 24, 2022 Accepting new patients

Locations

8590 Farmington Blvd
Ste 5
Germantown, TN 38139
Phone (901) 756-0688

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1295385896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 FARMINGTON BLVD STE 5",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393365",
            "telephone_number": "901-756-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 FARMINGTON BLVD STE 5",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393365",
            "telephone_number": "901-756-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "13128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.