Individual provider Active NPI

Jacqueline Lou Ayers, D.PH., CGP

  • Geriatric Pharmacist
  • Knoxville, TN
National Provider Identifier
1316001282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
4139 Issued in TN
Practice address
9000 Executive Park Dr
Suite a-204
Knoxville, TN 37923-4685
Phone
(865) 531-0008
Fax
(865) 531-8990
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 4139 TN Primary
Geriatric Pharmacist 1835G0303X RPH016382 GA
Geriatric Pharmacist 1835G0303X 0202013044 VA

Addresses

Primary practice location

9000 Executive Park Dr
Suite a-204
Knoxville, TN 37923-4685

Mailing address

12215 Mossy Point Way
Knoxville, TN 37922-0610
Phone (865) 250-9326

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

LicenseStateTypeSpecialty
RPH016382GAMDGeriatric Pharmacist
0202013044VAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316001282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 MOSSY POINT WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220610",
            "telephone_number": "865-250-9326",
            "fax_number": "865-531-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 EXECUTIVE PARK DR",
            "address_2": "SUITE A-204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234685",
            "telephone_number": "865-531-0008",
            "fax_number": "865-531-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "JACQUELINE",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "D.PH., CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TN",
            "license": "4139",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "GA",
            "license": "RPH016382",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "VA",
            "license": "0202013044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, 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.