Organization Active NPI

The Drug Store Inc

  • Long Term Care Pharmacy
  • Bells, TN
National Provider Identifier
1003837063
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1937 Issued in TN
Legal business name
THE DRUG STORE INC
Doing business as
The Drug Store Inc
Practice address
153 Herndon Dr
Bells, TN 38006-3688
Phone
(731) 663-2314
Fax
(731) 436-0011
NPI assigned
Jul 22, 2006
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Carin Barnhill
Title
Claims Processor
Phone
(731) 663-2314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 1937 TN Primary

Addresses

Primary practice location

153 Herndon Dr
Bells, TN 38006-3688

Mailing address

153 Herndon Dr
Bells, TN 38006-3688
Phone (731) 663-2314

Other identifiers 2

IdentifierTypeStateIssuer
9449397MedicaidTN
2090610OtherPK

Other names 1

  • THE DRUG STORE INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210211002384 TN Part B Supplier - Pharmacy 5193842839 Practice locations: Bells, TN

National Provider Directory

National Provider Directory

Locations

153 Herndon Dr
Bells, TN 38006
Phone (731) 663-2314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1003837063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HERNDON DR",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380063688",
            "telephone_number": "731-663-2314",
            "fax_number": "731-436-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 HERNDON DR",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380063688",
            "telephone_number": "731-663-2314",
            "fax_number": "731-436-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BARNHILL",
        "authorized_official_first_name": "CARIN",
        "authorized_official_title_or_position": "CLAIMS PROCESSOR",
        "authorized_official_telephone_number": "731-663-2314"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449397",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bells, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.