CITY DRUG CO (NPI# 1487657805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487657805 |
| Entity Type | Organization |
| Organization Name | CITY DRUG CO |
| Other Organization Name | CITY DRUG CO |
| Practice Address |
630 Rb Wilson Dr Huntingdon TN 38344-1726 |
| Mailing Address |
Po Box 189 Huntingdon TN 38344-0189 |
| Practice Telephone | 7319862228 |
| Practice Fax Number | 7319862171 |
| Mailing Telephone | 7319862228 |
| Mailing Fax Number | 7319862171 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | TIMOTHY TUCKER (OWNER) |
| Authorized Official Telephone | 7319862228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
443 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2131844 | 01 | |
| TN | 3526215 | 05 |
| Other Name | Type Code |
|---|---|
| CITY DRUG CO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983406 | City Drug Co | Pharmacist | 1512 Linwood Dr, Paragould, AR 72450-5814 | 2005-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CITY DRUG COMPANY | 108 E Wishkah St, Aberdeen, WA 98520 |
| Street Address |
630 RB WILSON DR |
| City | HUNTINGDON |
| State | TN |
| Zip Code | 38344-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720328024 | Malarie Brooke Leonard | Pharmacist | 630 Rb Wilson Dr, Huntingdon, TN 38344-1726 | 2013-02-22 |
| 1902043961 | Susan H Cary | Pharmacist | 630 Rb Wilson Dr, Huntingdon, TN 38344-1726 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201926 | Michele Ellert | Nurse Practitioner | 710 Fairview Church Rd, Huntingdon, TN 38344 | 2014-06-26 |
| 1396064531 | Carroll Hospital Associates, Pllc | Hospitalist | 631 R. B. Wilson Drive, Huntingdon, TN 38344 | 2010-05-27 |
| 1376792804 | Clinical Radiologists, Pllc | Radiology | 631 R.b. Wilson Dr, Huntingdon, TN 38344 | 2008-09-09 |
| 1134346869 | Christie Harris | Case Manager/Care Coordinator | 19410 West Main, Huntingdon, TN 38344 | 2007-04-20 |
| 1346390515 | State of Tennessee | Public Health or Welfare | 633 High Street, Huntingdon, TN 38344 | 2007-01-11 |
| 1609806439 | Calphor S Carty | Surgery | 641 Rb Wilson Drive, Suite J, Huntingdon, TN 38344 | 2006-07-04 |
| 1376512491 | Emily Katharine Bullock | Nurse Practitioner | 641 R B Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-03-14 |
| 1184114902 | Baptist Memorial Hospital-huntingdon | Clinic/Center | 641 Rb Wilson Dr, Huntingdon, TN 38344 | 2018-05-17 |
| 1760559827 | Rafael Mario Sanchez | Emergency Medicine | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-11-30 |
| 1851317051 | Jill A. Bennett | Nurse Practitioner | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-07-14 |
| Find all providers in zip 38344 | ||||
| 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 |
|---|---|---|---|---|
| 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 | HUNTINGDON |
| Zip Code | 38344 |
Please comment or provide details below to improve the information on CITY DRUG CO.
| 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.