Active NPI
Jack Tyler Joyner, PHARM.D
- Pharmacist
- Selmer, TN
National Provider Identifier
1487201356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39362
- Practice address
- 185 W Court Ave
Selmer, TN 38375-2133 - Phone
- (731) 610-0104
- NPI assigned
- Aug 24, 2019
- 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 | 39362 | TN | Primary |
Addresses
Primary practice location
185 W Court Ave
Selmer, TN 38375-2133
Mailing address
154 Franklin St
Selmer, TN 38375-1529
Phone (731) 610-0104
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyner RX, LLC | Current | Accepting new patients |
Locations
185 W Court Ave
Selmer, TN 38375
Phone (731) 434-0180
Organizations & group practices 1
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.
-
- Pharmacy
- Selmer, TN
- NPI 1134768831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1487201356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 FRANKLIN ST",
"city": "SELMER",
"state": "TN",
"postal_code": "383751529",
"telephone_number": "731-610-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 W COURT AVE",
"city": "SELMER",
"state": "TN",
"postal_code": "383752133",
"telephone_number": "731-610-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYNER",
"first_name": "JACK",
"middle_name": "TYLER",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-24",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TN",
"license": "39362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.