Individual provider Active NPI

Suzanne P Tagg, DPH

  • Pharmacist
  • Bartlett, TN
National Provider Identifier
1669728143
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7667 Issued in TN
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

Updated by the provider on Aug 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
7667TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.