Phipps Pharmacy #4
LBN: Phipps Pharmacy Inc
Phipps Pharmacy #4 is an health care organization with primary practice located at 19 Hughes Dr , Jackson TN 38305-1510. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Phipps Pharmacy Inc can be contacted via phone (731) 668-9072, or through Phipps, Jerry Robert via phone (731) 352-0820.
Contact Information
Primary practice address
19 Hughes Dr
Jackson TN 38305-1510
Phone: (731) 668-9072
Fax: (731) 664-9076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 308 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | 308 | Tennessee |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 308 | Tennessee |
Profile Details
| NPI number | 1700971264 |
|---|---|
| LBN Legal business name | Phipps Pharmacy Inc |
| DBA Doing business as | Phipps Pharmacy #4 |
| Authorized official | Phipps, Jerry Robert PHARM D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | May 31st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700971264 | NPPES |
| Tennessee | MEDICAID | 1518370 | |
| Tennessee | Other | 4417627 |
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