Individual provider Active NPI

Jill E Tucker, RPH

  • Ambulatory Care Pharmacist
  • Lafayette, IN
National Provider Identifier
1801416995
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
26020034A Issued in IN
Practice address
1327 Veterans Memorial Pkwy E
Lafayette, IN 47905-8917
Phone
(765) 838-6771
Fax
(317) 968-1010
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 26020034A IN Primary

Addresses

Primary practice location

1327 Veterans Memorial Pkwy E
Lafayette, IN 47905-8917

Mailing address

5884 Aubrey LN
Lafayette, IN 47905-9303
Phone (765) 404-4308

Other practice location 1

1116 N 16th St Ste A
Lafayette, IN 47904-2119
Phone (765) 838-6771

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtucker13@iuhealth.org 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
26020034AINMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1801416995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5884 AUBREY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479059303",
            "telephone_number": "765-404-4308",
            "fax_number": "317-968-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 VETERANS MEMORIAL PKWY E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058917",
            "telephone_number": "765-838-6771",
            "fax_number": "317-968-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 N 16th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042119",
            "country_code": "US",
            "telephone_number": "765-838-6771",
            "fax_number": "317-968-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IN",
            "license": "26020034A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtucker13@iuhealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1327 Veterans Memorial Pkwy E",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.