Individual provider Active NPI

David Chad Jakes, PHARMD

  • Pharmacist
  • Memphis, TN
National Provider Identifier
1952706814
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37681 Issued in TN
Practice address
1620 Century Center Pkwy Ste 110
Memphis, TN 38134-8849
Phone
(901) 381-7400
NPI assigned
Nov 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37681 TN Primary

Addresses

Primary practice location

1620 Century Center Pkwy Ste 110
Memphis, TN 38134-8849

Mailing address

1620 Century Center Pkwy Ste 110
Memphis, TN 38134-8849
Phone (901) 381-7400

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

LicenseStateTypeSpecialty
37681TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1952706814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CENTURY CENTER PKWY STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348849",
            "telephone_number": "901-381-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CENTURY CENTER PKWY STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348849",
            "telephone_number": "901-381-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKES",
        "first_name": "DAVID",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2014; 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.