Active NPI
Jamie Lynn Tucker, PHARMD
- Pharmacist
- Demopolis, AL
National Provider Identifier
1699206060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16748
- Practice address
- 1107 Lillian Lane
Demopolis, AL 36732 - Phone
- (334) 507-8266
- NPI assigned
- Mar 27, 2017
- Last updated
- Mar 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16748 | AL | Primary |
| Pharmacist | 183500000X | 34319 | TN | |
| Pharmacist | 183500000X | 010790 | MS |
Addresses
Primary practice location
1107 Lillian Lane
Demopolis, AL 36732
Mailing address
1107 Lillian Lane
Demopolis, AL 36732
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 |
|---|---|---|---|
| 16748 | AL | MD | Pharmacist |
| 010790 | MS | MD | Pharmacist |
| 34319 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1699206060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 LILLIAN LANE",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "36732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 LILLIAN LANE",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "36732",
"telephone_number": "334-507-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16748",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "34319",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "010790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demopolis, AL
- Tombigbee Healthcare Authority (Whitfield Regional Hospital Swing Bed)
- Tombigbee Healthcare Authority (Whitfield Regional Hospital Home Health Agency)
- Travis Clinic
- Judy Cooke Travis, MD
- Amy U Tucker, RD LD
- Urgent Care Northwest PC (MedCenter Demopolis, LLC)
- Todd Bagwell Vaughan, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0731)
- Wal-Mart Stores East, LP (Vision Center 30-0731)
- Yvonne Walker, MASSAGE THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.