Active NPI
Taylor Nicole Tuepker
- Pharmacist
- Jefferson City, MO
National Provider Identifier
1942800719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2018033930
- Practice address
- 401 Supercenter Dr
Jefferson City, MO 65101-8190 - Phone
- (573) 635-3877
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 2018033930 | MO | Primary |
Addresses
Primary practice location
401 Supercenter Dr
Jefferson City, MO 65101-8190
Mailing address
PO Box 621
Belle, MO 65013-0621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018033930 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1942800719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 621",
"city": "BELLE",
"state": "MO",
"postal_code": "650130621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SUPERCENTER DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651018190",
"telephone_number": "573-635-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUEPKER",
"first_name": "TAYLOR",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018033930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.