Jay Allison Bobo

Primary specialty

PharmacistTaxonomy code 183500000X

License

9794 Issued in TN

Practice address

865 Poplar Ave
Memphis, TN 38105-4608

Phone

(901) 524-1336

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jay Allison Bobo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407072424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SAINT ANDREWS FWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381117717",
            "telephone_number": "901-680-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054608",
            "telephone_number": "901-524-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "JAY",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "BOBO",
            "middle_name": "ALLISON",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Boatner, BA
• Lauren Eileen Bobal, B.A.
• Alexa Valeria Bobelis, ARNP
• Anne Margaret Boberski
• Lyndon Mark Bobinger, DPH
• Larisa Anatolievna Bobr
• Marie I. Bodack, O.D.
• Lashawnda Del Boddie, P.T.
• Erin Marie Bodenbach
• John William Bodford Jr., M.D.

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• 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.