Active NPI
Jamie E Prewett
- Pharmacist
- Memphis, TN
National Provider Identifier
1740407766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12159
- Practice address
- 877 Jefferson
Memphis, TN 38103 - Phone
- (901) 545-6299
- NPI assigned
- Apr 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12159 | TN | Primary |
| Pharmacist | 183500000X | E-09595 | MS |
Addresses
Primary practice location
877 Jefferson
Memphis, TN 38103
Mailing address
47 Boone Drive
Hernando, MS 38632
Phone (901) 603-1780
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 |
|---|---|---|---|
| 12159 | TN | MD | Clinical Social Worker |
| E-09595 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740407766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 BOONE DRIVE",
"city": "HERNANDO",
"state": "MS",
"postal_code": "38632",
"telephone_number": "901-603-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-545-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWETT",
"first_name": "JAMIE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12159",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-09595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
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.