Active NPI
Jennifer Tussey, PHARM.D., AAHIVP
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1538788914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2016019831
- Practice address
- 1234 S Kingshighway Blvd Ste 1900
Saint Louis, MO 63110-2182 - Phone
- (314) 657-9012
- NPI assigned
- Apr 15, 2020
- Last updated
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051301073 | IL | |
| Pharmacist | 183500000X | 03438383 | OH | |
| Pharmacist | 183500000X | 2016019831 | MO | Primary |
Addresses
Primary practice location
1234 S Kingshighway Blvd Ste 1900
Saint Louis, MO 63110-2182
Mailing address
1234 S Kingshighway Blvd Ste 1900
Saint Louis, MO 63110-2182
Phone (314) 657-9012
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03438383 | Other | OH | OHIO BOARD OF PHARMACY |
| 2016019831 | Other | MO | MISSOURI BOARD OF PHARMACY |
| 051301073 | Other | IL | ILLINOIS BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 051301073 | IL | MD | Pharmacist |
| 2016019831 | MO | MD | Pharmacist |
| 03438383 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1538788914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 S KINGSHIGHWAY BLVD STE 1900",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102182",
"telephone_number": "314-657-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 S KINGSHIGHWAY BLVD STE 1900",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102182",
"telephone_number": "314-657-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUSSEY",
"first_name": "JENNIFER",
"credential": "PHARM.D., AAHIVP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051301073",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03438383",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2016019831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF PHARMACY",
"identifier": "03438383",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMACY",
"identifier": "2016019831",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS BOARD OF PHARMACY",
"identifier": "051301073",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.