Active NPI
Jacalyn Tucker, PHARM D
- Pharmacist
- Cottonwood, AZ
National Provider Identifier
1326567793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023001
- Practice address
- 1179 Az-260
Cottonwood, AZ 86326 - Phone
- (928) 634-2147
- NPI assigned
- Sep 16, 2017
- Last updated
- Oct 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023001 | AZ | Primary |
Addresses
Primary practice location
1179 Az-260
Cottonwood, AZ 86326
Mailing address
1179 Az-260
Cottonwood, AZ 86326
Phone (518) 496-5929
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
| License | State | Type | Specialty |
|---|---|---|---|
| S023001 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1505520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1326567793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 AZ-260",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "86326",
"telephone_number": "518-496-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 AZ-260",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "86326",
"telephone_number": "928-634-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JACALYN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-16",
"last_updated": "2022-10-06",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
- Sarah Ann Torabi, CRNA
- Gigi Marie Touchon, LISAC, LMSW
- Tribe Wellness Group PLLC
- Ranae Kathleen Trudeau, COTA
- Shannen Renee Trujillo, SLPA
- Daniel Tutelman, PHARMD
- United Surgical Associates, L.L.C. (United Surgery Center)
- Jaime Upegui-Gomez, M.D.
- Urology Providers of Northern Arizona
- Urololgy Providers of Northern Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.