Active NPI
Jonathan Barton Graves, PHARMD
- Pharmacist
- Jackson, TN
National Provider Identifier
1336436708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9815
- Practice address
- 616 W. Forest Ave
Jackson, TN 38301-3902 - Phone
- (731) 422-0232
- Fax
- (731) 422-0389
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 9815 | TN | Primary |
Addresses
Primary practice location
616 W. Forest Ave
Jackson, TN 38301-3902
Mailing address
616 W. Forest Ave
Jackson, TN 38301-3902
Phone (731) 422-0232
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 |
|---|---|---|---|
| 9815 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1336436708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 W. FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013902",
"telephone_number": "731-422-0232",
"fax_number": "731-422-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 W. FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013902",
"telephone_number": "731-422-0232",
"fax_number": "731-422-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JONATHAN",
"middle_name": "BARTON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.