Active NPI
Jacqueline Lou Ayers, D.PH., CGP
- Geriatric Pharmacist
- Knoxville, TN
National Provider Identifier
1316001282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 4139
- 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, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH016382 | GA | MD | Geriatric Pharmacist |
| 0202013044 | VA | MD | Geriatric 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.