Tricare Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000005044 Issued in TN

Legal business name

TRICARE PHARMACY LLC

Practice address

710 Nashville Pike Ste 101
Gallatin, TN 37066-4592

Phone

(615) 461-7078

Fax

(615) 461-8864

NPI assigned

Sep 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeobu Peter, RPHNPI 1942581053

Title

Phcy MGR,Pic,Ao

Phone

(571) 315-9906

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PrimeCare Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Tax ID family

Primecare Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tricare Pharmacy LLC

  • Home Infusion Therapy Pharmacy
  • Gallatin, TN
  • NPI 1326913872
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeobu Peter, MPHARM

  • Pharmacist
  • Gallatin, TN
  • NPI 1942581053
  NPD Authorized official
• Linh Tran Phan, PHARMD

  • Pharmacist
  • Gallatin, TN
  • NPI 1952881500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1003166943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 101",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "615-461-7078",
            "fax_number": "615-461-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 101",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "615-461-7078",
            "fax_number": "615-461-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-09-19",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "JEOBU",
        "authorized_official_title_or_position": "PHCY MGR,PIC,AO",
        "authorized_official_telephone_number": "571-315-9906",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000005044",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137141",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036762",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittani Nicole Totty, RN
• Trailhead Pediatric Dentistry
• Jennifer G Travis
• James Andrew Treimanis
• Tricare Medical Supplies, Inc.
• Tricare Pharmacy LLC
• Tricare Rehabilitation Services, Inc.
• Trinity Pediatrics, P.C.
• Courtney Lynn Tripp
• Kelly Gosnell Troutt, RD

• Community/Retail Pharmacy in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.