Organization Active NPI

Nu-Liferx, LLC

Doing business as Nu-LifeRx

  • Community/Retail Pharmacy
  • Johnson City, TN
National Provider Identifier
1033974126
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Robert David Holbrook, PHARMD, DPHNPI 1346497351
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q090599MedicaidTN

Other names 1

  • Nu-LifeRx Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.