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TUCKER PHARMACY, LLC
NPI 1639714397
Pharmacy - Community/Retail Pharmacy in Fairview, TN

Active since November 16, 2019CLIA 44D2235755 · Waiver
2415 FAIRVIEW BLVD, FAIRVIEW, TN 37062(615) 799-0691 Get Directions Write a Review

NPPES record last updated: April 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2023, Nov 16, 2019 (2 updates tracked since 2019).

About Tucker Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUCKER PHARMACY, LLC (NPI 1639714397) is a healthcare organization registered as a community/retail pharmacy in Fairview, Tennessee and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Jimmy Tucker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639714397
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTUCKER PHARMACY, LLC
Location Address2415 FAIRVIEW BLVDFairview, TN 37062-9078
Mailing Address10394 Tidwell RdBon Aqua, TN 37025-1567 · (601) 946-1826
Phone(615) 799-0691
Organization SubpartNo
Authorized OfficialJimmy TuckerCeo · (601) 946-1826
Enumeration DateNovember 16, 2019
Last NPPES UpdateApril 16, 20232 updates tracked since enumeration
NPPES CertifiedApril 16, 2023
✔ NPI 1639714397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
2415 FAIRVIEW BLVD, Fairview, TN 37062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2235755

Tucker Pharmacy · Fairview, TN
Active · expires Sep 10, 2027
CLIA Number44D2235755
Laboratory TypePharmacy
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorMorgan T. Plunkett
Laboratory Phone(615) 799-0691
Laboratory LocationTucker Pharmacy2415 Fairview Blvd, Suite 300, Fairview, TN 37062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
38 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Tucker Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Tucker Pharmacy LLC

DMEPOS supplier · Fairview, TN
✔

Accepts Medicare assignment

Tucker Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20418479
Medicare Participant SinceDecember 31, 2019
Supplier Location2415 Fairview BlvdFairview, TN 37062
Phone(615) 799-0691
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON STANFILL PHARM.D
Pharmacist
2415 FAIRVIEW BLVD
FAIRVIEW, TN 37062
Williamson County (615) 799-0691
FREDS STORES OF TENNESSEE INC
Pharmacy (Community/Retail Pharmacy)
2415 FAIRVIEW BLVD
FAIRVIEW, TN 37062
Williamson County (615) 799-0691
SUSAN BOWMAN PEMBERTON D.PH.
Pharmacist
2415 FAIRVIEW BLVD
FAIRVIEW, TN 37062
Williamson County (615) 799-0691
RANDLE S WILLIAMS D.PH.
Pharmacist
2415 FAIRVIEW BLVD
FAIRVIEW, TN 37062
Williamson County (615) 799-0691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tucker Pharmacy, LLC's NPI number?

The NPI number for Tucker Pharmacy, LLC is 1639714397. It was assigned to this organization in the NPPES registry on November 16, 2019.

Where is Tucker Pharmacy, LLC located?

Tucker Pharmacy, LLC is located at 2415 Fairview Blvd, Fairview, TN 37062. The listed phone number is (615) 799-0691.

What is Tucker Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Tucker Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Tucker Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Tucker Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2235755) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tucker Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Tucker Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tucker Pharmacy, LLC was last updated on April 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.