Active NPI
Suzanne P Tagg, DPH
- Pharmacist
- Bartlett, TN
National Provider Identifier
1669728143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7667
- Practice address
- 5724 Stage Rd Ste B
Bartlett, TN 38134 - Phone
- (844) 646-2279
- Fax
- (901) 646-7706
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 7667 | TN | |
| Psychiatric Pharmacist | 1835P1300X | 7667 | TN | |
| Pharmacist | 183500000X | 7667 | TN | Primary |
Addresses
Primary practice location
5724 Stage Rd Ste B
Bartlett, TN 38134
Mailing address
5724 Stage Rd Ste B
Bartlett, TN 38134-4572
Phone (844) 646-2279
Other practice location 1
2000 Old Oak Dr
Memphis, TN 38119-6406
Phone (901) 238-6967
Other names 1
- Suzanne Parker
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 |
|---|---|---|---|
| 7667 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pretty Little Pharmacy | Current | Accepting new patients | |
| Parker'S Pharm | Pharmacist | Current | Accepting new patients |
| Parkers Pharm Dba Highland Heights Pharmacy | Current | Accepting new patients |
Locations
5724 Stage Rd
Ste B
Bartlett, TN 38134
Phone (901) 646-7701
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1699260828
-
- Pharmacy
- Collierville, TN
- NPI 1568005700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1669728143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 STAGE RD STE B",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381344572",
"telephone_number": "844-646-2279",
"fax_number": "901-646-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5724 STAGE RD STE B",
"city": "BARTLETT",
"state": "TN",
"postal_code": "38134",
"telephone_number": "844-646-2279",
"fax_number": "901-646-7706"
}
],
"practiceLocations": [
{
"address_1": "2000 Old Oak Dr",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381196406",
"country_code": "US",
"telephone_number": "901-238-6967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAGG",
"first_name": "SUZANNE",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TN",
"license": "7667",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "TN",
"license": "7667",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "PARKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.