Stewarts Drug Inc No 2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1427 Issued in TN

Legal business name

STEWARTS DRUG INC NO 2

Practice address

3120 Parkway
Pigeon Forge, TN 37863-3310

Phone

(865) 453-9096

Fax

(865) 428-1970

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Jerrie ArunthamakunNPI 1710075189

Title

Pharmacist

Phone

(865) 453-9096

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• STEWARTS DRUG STORE Doing business as

Locations

Practitioners 1

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

• Jerrie Stewart Arunthamakun

  • Pharmacist
  • Pigeon Forge, TN
  • NPI 1710075189
  NPD (past) Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1003910068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378680116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PARKWAY",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633310",
            "telephone_number": "865-453-9096",
            "fax_number": "865-428-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARTS DRUG INC NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "ARUNTHAMAKUN",
        "authorized_official_first_name": "JERRIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "865-453-9096"
    },
    "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": "1427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452430",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEWARTS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Brooke Shults, PT, DPT
• SM Healthcare Op LLC
• James Franklin Smith, ATC/L
• Jennifer Michelle Starritt, FNP-BC
• Jennifer Louise Steele, APRN, BC
• Barbara Ann Taylor, PHD, LMFT
• Tennessee CVS Pharmacy, L.L.C.
• Tennessee Mobile Laboratory LLC
• Timothy Thomason, PA-C
• Volunteer Family Medical

• Community/Retail Pharmacy in Pigeon Forge, TN
• Providers in Pigeon Forge, 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 Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.