PROFESSIONAL CARE SERVICES OF WEST TN INC (NPI# 1144386855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144386855 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE SERVICES OF WEST TN INC |
| Other Organization Name | SUSAN E INGRAM CENTER |
| Practice Address |
5281 Navy Rd Millington TN 38053-2535 |
| Mailing Address |
1997 Hwy 51 S Covington TN 38019-3630 |
| Practice Telephone | 9018730305 |
| Practice Fax Number | 9018730306 |
| Mailing Telephone | 9014768967 |
| Mailing Fax Number | 9013131125 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | MR. TOM GRIFFIN (CONTROLLER) |
| Authorized Official Telephone | 9016221688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3856 | TN | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4436350 | 01 |
| Other Name | Type Code |
|---|---|
| Susan E Ingram Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811054521 | Professional Care Services of West Tn Inc | Pharmacy | 403 Commerce St, Ripley, TN 38063-2060 | 2007-01-02 |
| 1396801007 | Professional Care Services of West Tn Inc | Pharmacy | 12615 S Main, Somerville, TN 38068-1673 | 2006-12-28 |
| 1528124237 | Professional Care Services of West Tn Inc | Pharmacy | 2380 Henry St, Dyersburg, TN 38024-1884 | 2006-12-28 |
| 1720145717 | Professional Care Services of West Tn Inc | Pharmacy | 1997 Highway 51 S, Covington, TN 38019-3630 | 2007-01-02 |
| Street Address |
5281 NAVY RD |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38053-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615507 | Suzanna Victoria Johnson(owens) | Counselor | 5281 Navy Rd, Millington, TN 38053-2535 | 2019-02-13 |
| 1831668110 | Martha Mccool | Nurse Practitioner | 5281 Navy Rd, Millington, TN 38053-2535 | 2018-11-16 |
| 1649792128 | Keitha Latrice Broyles | Counselor | 5281 Navy Rd, Millington, TN 38053-2535 | 2017-07-17 |
| 1598295867 | Chasity Danielle Richardson | Licensed Practical Nurse | 5281 Navy Rd, Millington, TN 38053-2535 | 2017-06-19 |
| 1720389968 | Bonnie Lou Barakat-smith | Counselor | 5281 Navy Rd, Millington, TN 38053-2535 | 2010-11-04 |
| 1033425483 | Naricia Mcgowen Futrell | Social Worker | 5281 Navy Rd, Millington, TN 38053-2535 | 2010-08-24 |
| 1518283399 | Sherrie R Serca | Nurse Practitioner | 5281 Navy Rd, Millington, TN 38053-2535 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| 1801457676 | Cale Porter Alexander | Physical Therapist | 8586 Highway 51 North, Millington, TN 38053 | 2019-06-24 |
| 1477957660 | Community Chiropractic | Chiropractor | 8110 Hwy 51 North, Suite 2, Millington, TN 38053 | 2014-10-16 |
| 1861739344 | Lydia A Sharpe | Pharmacist | 8039 Highway 51 North, Millington, TN 38053 | 2013-01-03 |
| 1063666261 | Phylliss Lamora Flowers | Nurse Practitioner | 7889 Astoria Rd, Millington, TN 38053 | 2008-11-14 |
| 1649447871 | William David Algea | Pediatrics | 8081 Highway 51 North, Millington, TN 38053 | 2008-05-15 |
| 1306051248 | Leader Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 8253 Highway 51 North, Suite 102, Millington, TN 38053 | 2007-05-14 |
| 1750406658 | Tammy E. Keough | Nurse Practitioner | 7889 Astoria, Millington, TN 38053 | 2007-03-20 |
| 1760516017 | West Tennessee Eye, Plc | Optometrist | 8120 Hwy 51n, Ste 7, Millington, TN 38053 | 2007-03-16 |
| 1932258787 | Mid South Wellness Center, Inc | Family Medicine | 7662 Highway 51north, Suite 2, Millington, TN 38053 | 2007-01-10 |
| Find all providers in zip 38053 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| 1043685852 | Rams Pharmacy LLC | Pharmacy | 412 Gallatin Pike N, Madison, TN 37115-3706 | 2015-12-04 |
| Find all providers with the same taxonomy | ||||
| City | MILLINGTON |
| Zip Code | 38053 |
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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.