TIPTONVILLE FAMILY PHARMACY (NPI# 1023583747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023583747 |
| Entity Type | Organization |
| Organization Name | TIPTONVILLE FAMILY PHARMACY |
| Other Organization Name | TIPTONVILLE FAMILY PHARMACY |
| Practice Address |
650 Carl Perkins Pkwy Tiptonville TN 38079-1678 |
| Practice Telephone | 7312530153 |
| Practice Fax Number | 7312530143 |
| Mailing Telephone | 7312530153 |
| Mailing Fax Number | 7316235025 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | JOHN MANCELL (OWNER) |
| Authorized Official Telephone | 7314991168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Tiptonville Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
650 CARL PERKINS PKWY |
| City | TIPTONVILLE |
| State | TN |
| Zip Code | 38079-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356893044 | John Mancell | Pharmacist | 650 Carl Perkins Pkwy, Tiptonville, TN 38079 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982048757 | Astin Berry | Physical Therapy Assistant | 3195 Cates Landing Rd N, Tiptonville, TN 38079 | 2013-04-24 |
| 1821383670 | Roberson Rike Clinic | Nurse Practitioner | 768 Everett St., Tiptonville, TN 38079 | 2011-06-09 |
| 1366648735 | Amanda Collins | Physician Assistant | Northwest Corrections, Tiptonville, TN 38079 | 2007-06-22 |
| 1710011994 | Sandra Lynnette Smith | Registered Nurse | 400 Hwy 78 S, Tiptonville, TN 38079 | 2007-03-16 |
| 1871643031 | State of Tennessee | Public Health or Welfare | 400 Hwy 78 South, Tiptonville, TN 38079 | 2007-01-11 |
| 1508807736 | Daniel W. Bruce | Legal Medicine | 708 Everett St, Tiptonville, TN 38079 | 2006-06-09 |
| 1841311529 | Citizens of Lake County for Health Care Inc | Clinic/Center | 710 Carl Perkins Pkwy, Tiptonville, TN 38079 | 2007-04-02 |
| 1770012676 | Main Street Family Care Pllc | Clinic/Center | 211 Church St, Tiptonville, TN 38079-1109 | 2017-06-06 |
| 1689914632 | Kerri A Ervin | Nurse Practitioner | 211 Church St, Tiptonville, TN 38079-1109 | 2013-02-27 |
| 1366614588 | Blue Ribbon Dental Center LLC | Health Maintenance Organization | 211 Church St, Tiptonville, TN 38079-1109 | 2008-03-27 |
| Find all providers in zip 38079 | ||||
| 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 |
|---|---|---|---|---|
| 1598217275 | Taylor Brothers Pharmacy LLC | Pharmacy | 650 Carl Perkins Parkway, Tiptonville, TN 38079-1678 | 2016-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | TIPTONVILLE |
| Zip Code | 38079 |
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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.