Medicap Pharmacy

LBN: Montgomery Rx Inc
Medicap Pharmacy is an health care organization with primary practice located at 4771 Navy Rd , Millington TN 38053-1903. 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. Montgomery Rx Inc can be contacted via phone (901) 873-3200, or through Montgomery, Ed via phone (901) 873-3200.

Contact Information

Primary practice address
4771 Navy Rd Millington TN 38053-1903
Phone: (901) 873-3200
Fax: (901) 873-0813
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Ed Doctor of Public Health (DPH)
Phone: (901) 873-3200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X C3202 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1487748794
LBN Legal business name Montgomery Rx Inc
DBA Doing business as Medicap Pharmacy
Authorized official Montgomery, Ed Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about 3 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 1487748794 NPPES
Tennessee MEDICAID 1454273
Tennessee MEDICAID 1487748794
Tennessee Other 4430966

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