<Unavail>

LBN: Ammed Direct Llc
<Unavail> is an health care organization with primary practice located at 5720 Crossings Blvd Ste B, Antioch TN 37013-3144. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ammed Direct Llc can be contacted via phone (615) 941-3800, or through Thomas, Kelly R via phone (615) 905-5200.

Contact Information

Primary practice address
5720 Crossings Blvd Ste B Antioch TN 37013-3144
Phone: (615) 941-3800
Fax: (615) 941-3822
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Kelly R
Phone: (615) 905-5200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 4128 Tennessee
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1215903182
LBN Legal business name Ammed Direct Llc
DBA Doing business as <Unavail>
Authorized official Thomas, Kelly R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215903182 NPPES
Tennessee MEDICAID 145504
Tennessee Other 4438001

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