MEDICINE CHEST APOTHECARY (NPI# 1629196472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629196472 |
| Entity Type | Organization |
| Organization Name | MEDICINE CHEST APOTHECARY |
| Practice Address |
330 N Oak Ave Cookeville TN 38501-2440 |
| Practice Telephone | 9315288479 |
| Mailing Telephone | 9315288479 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TONY DALE SELLS (PHARMACIST) |
| Authorized Official Telephone | 9315288479 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 00000399 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3544998 | 05 | |
| TN | NCPDP | 4418100 | 01 |
| TN | DEA | AM9446344 | 01 |
| Street Address |
330 N OAK AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528110897 | Tony Dale Sells | Pharmacist | 330 N Oak Ave, Cookeville, TN 38501-2440 | 2007-01-17 |
| 1689187239 | Rmss LLC | Pharmacy | 330 N Oak Ave, Cookeville, TN 38501-2440 | 2017-11-06 |
| 1568811099 | Rmss LLC | Pharmacy | 330 N Oak Ave, Cookeville, TN 38501-2440 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155917 | Edward D Hayes | Pharmacist | 635 Laurel Park Cir, Cookeville, TN 38501-3018 | 2019-10-11 |
| 1891100558 | Graham Sells | Pharmacist | 768 S Jefferson Ave Ste A, Cookeville, TN 38501-0926 | 2014-06-21 |
| 1447503362 | Mary Janis Taylor | Pharmacist | 323 Nash Ave, Cookeville, TN 38501-3692 | 2012-10-16 |
| 1003161761 | Whitney Carol Baker | Pharmacist | 950 N Washington Ave, Cookeville, TN 38501-2666 | 2012-07-18 |
| 1104106293 | Jonathan Clint Melton | Pharmacist | 131 Brook Ln, Cookeville, TN 38506-0781 | 2011-08-22 |
| 1093024705 | Richard Clyde Sliger | Pharmacist | 100 W. 3rd Street, Suite A, Cookeville, TN 38501 | 2010-09-29 |
| 1528232501 | Laine A Clayton | Pharmacist | 138 S Willow Ave, Cookeville, TN 38501-3139 | 2008-04-21 |
| 1528110897 | Tony Dale Sells | Pharmacist | 330 N Oak Ave, Cookeville, TN 38501-2440 | 2007-01-17 |
| 1396853545 | Ginger Lavena Halsell | Pharmacist | 200 W 10th St, Cookeville, TN 38501-6077 | 2006-08-28 |
| 1841207271 | Lisa Mchenry Stricklin | Pharmacist | 205 N Dixie Ave, Cookeville, TN 38501-3325 | 2006-08-01 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.