Individual provider Active NPI

Jennifer Palko Dilliard

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1942581517
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11038 Issued in TN
Practice address
801 Royal Pkwy
Suite 105
Nashville, TN 37214-3749
Phone
(615) 889-7664
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11038 TN Primary
Pharmacist 183500000X 051-290574 IL
Pharmacist 183500000X 26018311A IN

Addresses

Primary practice location

801 Royal Pkwy
Suite 105
Nashville, TN 37214-3749

Mailing address

801 Royal Pkwy
Suite 105
Nashville, TN 37214-3749
Phone (615) 889-7664

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

LicenseStateTypeSpecialty
11038TNMDDentist
051-290574ILMDPharmacist
26018311AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1942581517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROYAL PKWY",
            "address_2": "SUITE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143749",
            "telephone_number": "615-889-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROYAL PKWY",
            "address_2": "SUITE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143749",
            "telephone_number": "615-889-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLIARD",
        "first_name": "JENNIFER",
        "middle_name": "PALKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "11038",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-290574",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018311A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.