Individual provider Active NPI

Rodney Allan Tubbs, D.PH.

  • Pharmacist
  • Memphis, TN
National Provider Identifier
1386917359
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5964 Issued in TN
Practice address
3315 Hacks Cross Rd
Suite 111
Memphis, TN 38125-8935
Phone
(901) 737-9797
Fax
(901) 737-9799
NPI assigned
Feb 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5964 TN Primary

Addresses

Primary practice location

3315 Hacks Cross Rd
Suite 111
Memphis, TN 38125-8935

Mailing address

3315 Hacks Cross Rd
Suite 111
Memphis, TN 38125-8935
Phone (901) 737-9797

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
5964TNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
RX Shoppe Inc Current Accepting new patients
Eyes on Diabetes PLLC Past Accepting new patients

Locations

3315 Hacks Cross Rd
Ste 111
Memphis, TN 38125
Phone (901) 737-9797

Organizations & group practices 2

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1386917359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HACKS CROSS RD",
            "address_2": "SUITE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258935",
            "telephone_number": "901-737-9797",
            "fax_number": "901-737-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 HACKS CROSS RD",
            "address_2": "SUITE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258935",
            "telephone_number": "901-737-9797",
            "fax_number": "901-737-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "RODNEY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2012; 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.