Jacob Allen Beaty, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

47493 Issued in TN

Practice address

7994 US Highway 51 N
Millington, TN 38053-1909

Phone

(901) 873-3373

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Walgreen Co

  • Pharmacy
  • Millington, TN
  • NPI 1932114964
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1780469882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7994 US HIGHWAY 51 N",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531909",
            "telephone_number": "901-873-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7994 US HIGHWAY 51 N",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531909",
            "telephone_number": "901-873-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "JACOB",
        "middle_name": "ALLEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "47493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Ballard, IDC
• Kimberly Anita Banks
• Bonnie Lou Barakat-Smith, MS
• Valerie L Barfield, RN, MSN, ANP
• Whitney Beall, PA
• Bio-Medical Applications of Tennessee, Inc.
• Cheryl A Bird, DDS
• Janet Alicia Black, M.D.
• Blue Odyssey Transportation
• Boatwright Drug Co., Inc

• All providers in Millington, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.