Active NPI
Ryan Tucker, R.PH.
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1629359211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005007843
- Practice address
- 5023 Cuggiono PL
Saint Louis, MO 63110-3144 - Phone
- (314) 795-5684
- NPI assigned
- Sep 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2005007843 | MO | Primary |
| Pharmacist | 183500000X | 49918 | TX |
Addresses
Primary practice location
5023 Cuggiono PL
Saint Louis, MO 63110-3144
Mailing address
5023 Cuggiono PL
Saint Louis, MO 63110-3144
Phone (314) 795-5684
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005007843 | MO | MD | Pharmacist |
| 49918 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1629359211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 CUGGIONO PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103144",
"telephone_number": "314-795-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5023 CUGGIONO PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103144",
"telephone_number": "314-795-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "RYAN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005007843",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49918",
"primary": false
}
],
"identifiers": [],
"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 Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.