Thomas Melvin Mays, DPH

Individual provider Active NPI Pharmacist · Centerville, TN

NPI 1003990359 · NPPES record last updated Jun 11, 2013

Key facts

NPI
1003990359
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1162 (TN)
Practice address
401 W Public SQ
Centerville, TN 37033-1606
Phone
(931) 729-3541
Fax
(931) 729-4874
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1162TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Pharmacy, Inc Current Accepting new patients
Liberty Pharmacy, Inc Current Accepting new patients

Locations

403 W Public Sq
Centerville, TN 37033
Phone (931) 729-3541

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1162 TN Yes

Addresses

Primary practice location

401 W Public SQ
Centerville, TN 37033-1606

Mailing address

PO Box 258
Centerville, TN 37033-0258
Phone (931) 729-3541

Other providers in Centerville, TN

All providers in Centerville, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.