Phipps Pharmacy #2

LBN: Phipps Pharmacy Inc
Phipps Pharmacy #2 is an health care organization with primary practice located at 121 Maple St , Bruceton TN 38317-1819. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Phipps Pharmacy Inc can be contacted via phone (731) 586-2931, or through Phipps, Jerry via phone (731) 352-0820.

Contact Information

Primary practice address
121 Maple St Bruceton TN 38317-1819
Phone: (731) 586-2931
Fax: (731) 352-2848
Website:
Map and Directions
Authorized official contact:
Name: Phipps, Jerry PHARMD
Phone: (731) 352-0820

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0146 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1154487429
LBN Legal business name Phipps Pharmacy Inc
DBA Doing business as Phipps Pharmacy #2
Authorized official Phipps, Jerry PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Mar 10th, 2010 - about 16 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 1154487429 NPPES
Tennessee MEDICAID 1455149
Tennessee Other 4404644

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