Individual provider Active NPI

Jaime Suzanne O'Bar, PHARMD.

  • Pharmacist
  • Memphis, TN
National Provider Identifier
1306980628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12108 Issued in TN
Practice address
4284 Getwell Rd
Memphis, TN 38118-6801
Phone
(901) 238-2742
Fax
(888) 343-7337
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12108 TN Primary
Pharmacist 183500000X 12144 NE
Pharmacist 183500000X PD10409 AR
Pharmacist 183500000X E09557 MS
Pharmacist 183500000X 17629 LA

Addresses

Primary practice location

4284 Getwell Rd
Memphis, TN 38118-6801

Mailing address

9741 Taylor Dr
Olive Branch, MS 38654-6596
Phone (662) 893-3717

Other names 1

  • Dr. Jaime Suzanne Andrews Former name

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
PD10409ARMDPharmacist
17629LAMDPharmacist
E09557MSMDPharmacist
12144NEMDPharmacist
12108TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Drug for Less Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306980628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9741 TAYLOR DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546596",
            "telephone_number": "662-893-3717",
            "fax_number": "888-343-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186801",
            "telephone_number": "901-238-2742",
            "fax_number": "888-343-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BAR",
        "first_name": "JAIME",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "12108",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "12144",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10409",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E09557",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "ANDREWS",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "PHARMD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

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.

Verify at the official NPI Registry.