Active NPI
James Robert McClane
- Pharmacist
- Memphis, TN
National Provider Identifier
1619450293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9547
- Practice address
- 5055 Stage Rd
Memphis, TN 38128-5033 - Phone
- (901) 266-5130
- NPI assigned
- Sep 10, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13236 | NE | |
| Pharmacist | 183500000X | 32271 | TX | |
| Pharmacist | 183500000X | 9547 | TN | Primary |
| Pharmacist | 183500000X | 13621 | LA |
Addresses
Primary practice location
5055 Stage Rd
Memphis, TN 38128-5033
Mailing address
5055 Stage Rd
Memphis, TN 38128-5033
Phone (901) 266-5130
Other practice location 1
11779 Osborn Valley Ln
Arlington, TN 38002-5966
Phone (402) 595-8322
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 |
|---|---|---|---|
| 13236 | NE | MD | Counselor |
| 13621 | LA | MD | Pharmacist |
| 32271 | TX | MD | Pharmacist |
| 9547 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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
- Sevierville, TN
- NPI 1891524815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1619450293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 STAGE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381285033",
"telephone_number": "901-266-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 STAGE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381285033",
"telephone_number": "901-266-5130"
}
],
"practiceLocations": [
{
"address_1": "11779 Osborn Valley Ln",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TN",
"postal_code": "380025966",
"country_code": "US",
"telephone_number": "402-595-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLANE",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13236",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32271",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9547",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "13621",
"primary": false
}
],
"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 Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.