MINNIS DRUG STORE INC (NPI# 1831272129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831272129 |
| Entity Type | Organization |
| Organization Name | MINNIS DRUG STORE INC |
| Other Organization Name | MINNIS DRUGS |
| Practice Address |
1035 S Cumberland St Morristown TN 37813-5236 |
| Mailing Address |
Po Box 369 Morristown TN 37815-0369 |
| Practice Telephone | 4235864562 |
| Practice Fax Number | 4235875537 |
| Mailing Telephone | 4235864562 |
| Mailing Fax Number | 4235875537 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | MR. ROBERT KENNETH CANTWELL (OWNER CHIEF PHARMICIST) |
| Authorized Official Telephone | 4235864562 |
| Authorized Official Credential | DPH PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
0000001975 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NABP | 4409670 | 01 |
| Other Name | Type Code |
|---|---|
| Minnis Drugs | Other Name - Individual/Organization |
| Street Address |
1035 S CUMBERLAND ST |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359208 | Quynh Nguyen | Pharmacist | 1035 S Cumberland St, Morristown, TN 37813-5236 | 2020-02-27 |
| 1245383082 | Anna Beth Portrum | Pharmacist | 1035 S Cumberland St, Morristown, TN 37813-5236 | 2007-01-18 |
| 1063565836 | Robert K Cantwell | Pharmacist | 1035 S Cumberland St, Morristown, TN 37813-5236 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1316040447 | Memphis Health Center, Inc | Pharmacy | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-09-06 |
| City | MORRISTOWN |
| Zip Code | 37813 |
Please comment or provide details below to improve the information on MINNIS DRUG STORE INC.
| 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.