MR. JAMES GORDON TUCKER JR. (NPI# 1679850093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679850093 |
| Entity Type | Individual |
| Full Name | MR. JAMES GORDON TUCKER JR. |
| Credential | R. PH. |
| Practice Address |
255 Charlois Blvd Winston Salem NC 27103-1507 |
| Practice Telephone | 3367181044 |
| Practice Fax Number | 3367684972 |
| Mailing Telephone | 3367181044 |
| Mailing Fax Number | 3367684972 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6157 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265865760 | James Robert Tucker | Counselor | 3011 S Memorial Dr Ste 12, Greenville, NC 27834-6238 | 2013-08-20 |
| 1255608568 | James Dennis Tucker | Pharmacist | 78 Minerva Dr, Gilbertsville, KY 42044-8600 | 2011-11-30 |
| 1487814968 | James Eldridge Tucker | Occupational Therapist | 2641 South C St, Oxnard, CA 93033 | 2008-06-10 |
| 1609049048 | James Travis Tucker Jr. | Chiropractor | 4006 Mundy Mill Rd, Oakwood, GA 30566-2807 | 2008-04-07 |
| 1861675878 | James Paul Tucker | Physical Therapist | 436 W Gladstone St, #156, Glendora, CA 91740-5591 | 2007-12-12 |
| 1235265299 | James Tucker | Chiropractor | 5920 Interstate 20 W Ste 110, Arlington, TX 76017-1000 | 2007-02-26 |
| 1932262060 | James Gerald Tucker | Physical Therapist | 15 Seascape Village, Aptos, CA 95003 | 2006-12-19 |
| 1548348014 | James William Tucker | Chiropractor | 618 N Sullivan Rd Ste 21, Spokane Valley, WA 99037-8528 | 2006-11-01 |
| 1124131396 | James Walter Tucker | Dentist | 1340 Chaparro St, Las Cruces, NM 88001-3720 | 2006-08-15 |
| 1013967421 | James B Tucker | Specialist | 239 Old North Rd, Camden, DE 19934-1241 | 2006-05-10 |
| Street Address |
255 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659574291 | Bridget Wallace Archer | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2007-06-11 |
| 1497392252 | Teny Tom Joseph | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2019-11-28 |
| 1528535085 | Brittney Nicole Champagne | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-11-01 |
| 1326513649 | Wintana Stefanos | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-10-13 |
| 1033603725 | Susan Hogan Wilson | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-18 |
| 1538653308 | Andrew Gordon Wright | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-15 |
| 1043703630 | Amy Lauren Peskoe Wenker | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-08 |
| 1255884987 | Lea Markie Webster | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2016-07-29 |
| 1740566652 | Melanie Gardner Sain | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2011-10-25 |
| 1912283821 | Deborah Lowder Scott | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2011-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506270 | Tyler Stone | Pharmacist | Medical Center Blvd 7th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2020-10-19 |
| 1306262357 | Kristin Anne Wall | Pharmacist | Wake Forest Baptist Health Dept of Pharmacy, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-03-14 |
| 1669897088 | William Chirstopher Council Jr. | Pharmacist | 1215a W Clemmonsville Rd, Winston Salem, NC 27127-4790 | 2014-02-21 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1407009780 | Stanleyville Family Pharmacy | Pharmacist | 6143 University Parkway, Winston Salem, NC 27105 | 2008-10-30 |
| 1083270920 | Elisabeth Louise Caulder | Pharmacist | 300 Medical Center Blvd, Winston Salem, NC 27157-0003 | 2019-05-16 |
| 1538653308 | Andrew Gordon Wright | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-15 |
| 1871003129 | Jinyao Eileen Chen | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-10-01 |
| 1528577996 | Teresa Ann Cicci | Pharmacist | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2017-09-28 |
| 1346767522 | Caitlin M Moorman Spangler | Pharmacist | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2017-08-28 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.