CITY DRUG INSTITUTIONAL CARE (NPI# 1649475252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649475252 |
| Entity Type | Organization |
| Organization Name | CITY DRUG INSTITUTIONAL CARE |
| Practice Address |
118 E Main St Ste C Henderson TN 38340-2335 |
| Mailing Address |
Po Box 224 Henderson TN 38340-0224 |
| Practice Telephone | 7319892166 |
| Practice Fax Number | 7319899685 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | DERYL STEWART (PRESIDENT) |
| Authorized Official Telephone | 7319892166 |
| Authorized Official Credential | PHRMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
TN4396 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4440513 | 01 |
| Street Address |
118 E MAIN ST STE C |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467652305 | Lynne Dana Moore | Pharmacist | 118 E Main St, Henderson, TN 38340-2335 | 2007-07-19 |
| 1023131190 | Jennifer Bias Morris | Pharmacist | 118 E Main St, Henderson, TN 38340-2335 | 2007-04-06 |
| 1427104173 | Charles Daron Mcnatt | Pharmacist | 118 E Main St, Henderson, TN 38340-2335 | 2007-01-26 |
| 1639225105 | Stacie Michelle Black | Pharmacist | 118 E Main St, Henderson, TN 38340-2335 | 2007-01-26 |
| 1477609576 | Deryl Lynn Stewart | Pharmacist | 118 E Main St, Henderson, TN 38340-2335 | 2007-01-25 |
| 1285670083 | City Drug Store Inc | Pharmacy | 118 E Main St, Henderson, TN 38340-2335 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| 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 |
|---|---|---|---|---|
| 1023410313 | Abacusrx Pharmacy LLC | Pharmacy | 1516 W Warm Springs Rd, Henderson, NV 89014-4339 | 2014-09-18 |
| 1255378543 | Badger Acquisition of Kentucky, LLC | Pharmacy | 1900 Us Highway 41 N, #4, Henderson, KY 42420-4964 | 2006-06-02 |
| 1427614080 | Medical Arts Pharmacy Inc | Pharmacy | 253 Ruin Creek Rd, Henderson, NC 27536-5916 | 2019-05-19 |
| 1457820581 | United Rx LLC | Pharmacy | 1516 W Warm Springs Rd, Henderson, NY 89014-4339 | 2018-11-19 |
| 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 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CITY DRUG INSTITUTIONAL CARE.
| 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.