Active NPI
Nu-Liferx, LLC
Doing business as Nu-LifeRx
- Community/Retail Pharmacy
- Johnson City, TN
National Provider Identifier
1033974126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NU-LIFERX, LLC
- Doing business as
- Nu-LifeRx
- Practice address
- 880 Boones Station Rd
Johnson City, TN 37615-4402 - Phone
- (423) 328-3446
- Fax
- (423) 328-3461
- NPI assigned
- Feb 16, 2024
- Last updated
- May 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert David Holbrook, PHARMD, DPH
- Title
- Pharmacy Manager
- Phone
- (423) 328-3446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
880 Boones Station Rd
Johnson City, TN 37615-4402
Mailing address
1374 Weaver Branch Rd
Piney Flats, TN 37686-3716
Phone (276) 298-9157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q090599 | Medicaid | TN |
Other names 1
- Nu-LifeRx
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Johnson City, TN
- NPI 1346497351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1033974126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1374 WEAVER BRANCH RD",
"city": "PINEY FLATS",
"state": "TN",
"postal_code": "376863716",
"telephone_number": "276-298-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 BOONES STATION RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154402",
"telephone_number": "423-328-3446",
"fax_number": "423-328-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU-LIFERX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "HOLBROOK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "423-328-3446",
"authorized_official_credential": "PHARMD, DPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q090599",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nu-LifeRx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.