Active NPI
Robert Alan Tucker, PHARM.D.
- Pharmacist
- Kingman, AZ
National Provider Identifier
1649336991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12736
- Practice address
- 3269 Stockton Hill Rd
Kingman, AZ 86409-3619 - Phone
- (928) 681-8593
- Fax
- (928) 692-4141
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 2007
- 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 | 12736 | AZ | Primary |
Addresses
Primary practice location
3269 Stockton Hill Rd
Kingman, AZ 86409-3619
Mailing address
1201 E Citrus Dr
Kingman, AZ 86409-1195
Phone (928) 377-3855
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 |
|---|---|---|---|
| 12736 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649336991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 E CITRUS DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864091195",
"telephone_number": "928-377-3855",
"fax_number": "928-692-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3269 STOCKTON HILL RD",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093619",
"telephone_number": "928-681-8593",
"fax_number": "928-692-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "12736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
- Treatment Assessment Screening Center, Inc (TASC, Inc.)
- Trinity Allergy, Asthma and Immunology Care, P.C.
- Carrie Ann Truelove-Hernandez, LICENSED PROFESSIONA
- Justina Truong, D.O.
- Panayiota Tsokas, SCHOOL COUNSELOR
- Twin Peaks Medical Associates PLLC (Fastrax Urgent Care Center)
- Tyler T Tatton DDS PC
- Barry J Uldrikson, D.D.S.
- Uptown Pharmacy of Kingman , Inc (Uptown Drug)
- Uptown Pharmacy of Kingman , Inc (Uptown Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.