BRIDGESTONE PHARMACY LLC (NPI# 1003354614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003354614 |
| Entity Type | Organization |
| Organization Name | BRIDGESTONE PHARMACY LLC |
| Practice Address |
825 Hamilton Crossings Antioch TN 37013 |
| Practice Telephone | 6159301553 |
| Practice Fax Number | 6152504918 |
| Mailing Telephone | 6159301553 |
| Mailing Fax Number | 6152504918 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | BRANDON SINTZ (PIC/MANAGING MEMBER) |
| Authorized Official Telephone | 6159301553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0000005944 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168470 | 01 |
| Street Address |
825 HAMILTON CROSSINGS |
| City | ANTIOCH |
| State | TN |
| Zip Code | 37013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082982 | Cane Ridge Rx LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2018-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
| 1295170025 | Fredrick Azubike Anikwe | Clinic/Center | 5008 Chadfield Way, Antioch, TN 37013 | 2013-05-07 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688316 | Delta Medical Pharmacy Antioch | Pharmacy | 1888 A St, Antioch, CA 94509-2602 | 2020-01-21 |
| 1649821091 | Newpath Vital Rx Inc. | Pharmacy | 425 Lake St Ste A, Antioch, IL 60002-1464 | 2019-09-26 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1164579488 | Kaiser Foundation Health Plan Inc | Pharmacy | 3670 Delta Fair Blvd, Antioch, CA 94509-4006 | 2007-01-05 |
| 1295838993 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 2788 Murfreesboro Rd, Antioch, TN 37013-2004 | 2006-09-07 |
| 1336256007 | K Mart Corp | Pharmacy | 3625 E 18th St, Antioch, CA 94509-8511 | 2006-08-25 |
| 1972510998 | Walgreen Co | Pharmacy | 2909 Murfreesboro Pike, Antioch, TN 37013-2227 | 2006-08-02 |
| 1871082982 | Cane Ridge Rx LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2018-05-03 |
| 1588860951 | Kaiser Foundation Health Plan Inc | Pharmacy | 4501 Sand Creek Rd, 1st Flr Rm 1125, Antioch, CA 94531-8687 | 2007-06-22 |
| 1376691253 | Kaiser Foundation Health Plan Inc | Pharmacy | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2007-01-08 |
| Find all providers in ANTIOCH | ||||
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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.