Active NPI
Tucker Dee Simmons I
- Geriatric Pharmacist
- Phenix City, AL
National Provider Identifier
1447533526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 15170
- Practice address
- 2515 Crawford Rd
Phenix City, AL 36867-3629 - Phone
- (334) 297-3722
- Fax
- (334) 297-5223
- NPI assigned
- Sep 24, 2011
- Last updated
- Sep 24, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 15170 | AL | Primary |
Addresses
Primary practice location
2515 Crawford Rd
Phenix City, AL 36867-3629
Mailing address
2515 Crawford Rd
Phenix City, AL 36867-3629
Phone (334) 297-3722
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 |
|---|---|---|---|
| 15170 | AL | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beauregard Drugs Inc | Current | Accepting new patients | |
| Walgreen Co | 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.
-
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1639424328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1447533526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 CRAWFORD RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368673629",
"telephone_number": "334-297-3722",
"fax_number": "334-297-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 CRAWFORD RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368673629",
"telephone_number": "334-297-3722",
"fax_number": "334-297-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TUCKER",
"middle_name": "DEE",
"name_prefix": "Dr.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "AL",
"license": "15170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.