PROFESSIONAL CARE SERVICES OF WEST TN INC (NPI# 1811054521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811054521 |
Entity Type | Organization |
Organization Name | PROFESSIONAL CARE SERVICES OF WEST TN INC |
Other Organization Name | WM F WALKER COUNSELING CENTER |
Practice Address |
403 Commerce St Ripley TN 38063-2060 |
Mailing Address |
1997 Highway 51 S Covington TN 38019-3630 |
Practice Telephone | 7316353968 |
Practice Fax Number | 9013131125 |
Mailing Telephone | 9014753586 |
Mailing Fax Number | 9014762458 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2019-07-09 |
Authorized Official Name | TOM GRIFFIN (CONTROLLER) |
Authorized Official Telephone | 9016221688 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0000002381 | TN | Suppliers |
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2091668 | 01 |
Other Name | Type Code |
---|---|
WM F WALKER COUNSELING CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396801007 | Professional Care Services of West Tn Inc | Pharmacy | 12615 S Main, Somerville, TN 38068-1673 | 2006-12-28 |
1144386855 | Professional Care Services of West Tn Inc | Pharmacy | 5281 Navy Rd, Millington, TN 38053-2535 | 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 |
403 COMMERCE ST |
City | RIPLEY |
State | TN |
Zip Code | 38063-2060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891254835 | Lauren Renfrow | Licensed Practical Nurse | 403 Commerce St, Ripley, TN 38063-2060 | 2019-03-19 |
1205346582 | Derrick Smith | Counselor | 403 Commerce St, Ripley, TN 38063-2060 | 2017-10-02 |
1477603595 | Elaine H Lents | Pharmacist | 403 Commerce St, Ripley, TN 38063-2060 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
Find all providers in zip 38063 |
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 |
---|---|---|---|---|
1194889568 | Hollis Discount Pharmacy, Inc | Pharmacy | 1008 City Ave N, Ripley, MS 38663-1413 | 2006-12-20 |
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 |
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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.