Active NPI
Johna Carol-Ann Tucker, PHARMD
- Pharmacist
- Madison, AL
National Provider Identifier
1629598024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19794
- Practice address
- 8580 Highway 72 W
Madison, AL 35758-9578 - Phone
- (256) 716-6951
- NPI assigned
- Jun 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19794 | AL | Primary |
Addresses
Primary practice location
8580 Highway 72 W
Madison, AL 35758-9578
Mailing address
209 Summerland CT
Hazel Green, AL 35750-7009
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 |
|---|---|---|---|
| 19794 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1629598024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SUMMERLAND CT",
"city": "HAZEL GREEN",
"state": "AL",
"postal_code": "357507009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8580 HIGHWAY 72 W",
"city": "MADISON",
"state": "AL",
"postal_code": "357589578",
"telephone_number": "256-716-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JOHNA",
"middle_name": "CAROL-ANN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.