Active NPI
Jessica Davis Robertson, PHARMD
- Pharmacist
- Memphis, TN
National Provider Identifier
1932495017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33735
- Practice address
- 7942 Winchester Rd
Memphis, TN 38125-2306 - Phone
- (901) 758-3615
- Fax
- (901) 758-3616
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33735 | TN | Primary |
Addresses
Primary practice location
7942 Winchester Rd
Memphis, TN 38125-2306
Mailing address
7942 Winchester Rd
Memphis, TN 38125-2306
Phone (901) 758-3615
Other names 1
- Miss Jessica Renee' Davis
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33735 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1508890245
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1932495017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7942 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252306",
"telephone_number": "901-758-3615",
"fax_number": "901-758-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7942 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252306",
"telephone_number": "901-758-3615",
"fax_number": "901-758-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "JESSICA",
"middle_name": "DAVIS",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DAVIS",
"middle_name": "RENEE'",
"prefix": "MISS",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.