Trevor Dalton Tucker, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

33108 Issued in NC

Practice address

760 Cabarrus Ave W
Concord, NC 28027-6851

Phone

(704) 788-6337

Fax

(704) 788-6338

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1811732290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 BEELER LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282086353",
            "telephone_number": "276-608-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276851",
            "telephone_number": "704-788-6337",
            "fax_number": "704-788-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TREVOR",
        "middle_name": "DALTON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NC",
            "license": "33108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Anne Tuchman, LCSW
• Amy Vreugdenhil Tucker, PHARM.D.
• Karen Tucker
• Katie Weatherman Tucker, NP
• Tami Tucker, C.F.M.
• Filomena Coroa Turnblom, LCSW
• Jasmine P Turner
• John Turner, DMD
• Kathleen E Turner, MA, LPC, NCC
• Nichole Paige Turner, LPN

• Pharmacotherapy Pharmacist in Concord, NC
• Providers in Concord, NC by specialty
• Pharmacotherapy Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.