Individual provider Active NPI

James Lloyd Zimmerly, RPH

  • Ambulatory Care Pharmacist
  • Nashville, IN
National Provider Identifier
1730736083
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
26013683A Issued in IN
Practice address
292 S Van Buren St
Nashville, IN 47448-7038
Phone
(812) 988-7463
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 26013683A IN Primary

Addresses

Primary practice location

292 S Van Buren St
Nashville, IN 47448-7038

Mailing address

2156 Bambi LN
Nashville, IN 47448-9401
Phone (812) 988-0273

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL fax Direct
Other URL 812-988-7463 Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26013683AINMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1730736083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 BAMBI LN",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474489401",
            "telephone_number": "812-988-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S VAN BUREN ST",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474487038",
            "telephone_number": "812-988-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERLY",
        "first_name": "JAMES",
        "middle_name": "LLOYD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IN",
            "license": "26013683A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "812-988-7176",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "292 S Van Buren St",
            "city": "Nashville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474487038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "812-988-7463",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "292 S Van Buren St",
            "city": "Nashville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474487038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.