Community Drug Pharmacy

LBN: John Douglas Evans
Community Drug Pharmacy is an health care organization with primary practice located at 919 Conference Dr Unit 4, Goodlettsville TN 37072-1933. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. John Douglas Evans can be contacted via phone (615) 855-1603, or through Evans, John via phone (615) 855-1603.

Contact Information

Primary practice address
919 Conference Dr Unit 4 Goodlettsville TN 37072-1933
Phone: (615) 855-1603
Fax: (615) 855-1605
Website:
Map and Directions
Authorized official contact:
Name: Evans, John RPH
Phone: (615) 855-1603

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4227 Tennessee

Profile Details

NPI number 1972518579
LBN Legal business name John Douglas Evans
DBA Doing business as Community Drug Pharmacy
Authorized official Evans, John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 1st, 2009 - about 17 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 1972518579 NPPES
Tennessee MEDICAID 1455058
Tennessee Other 4438758

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