Organization Active NPI

Rams Pharmacy LLC

  • Community/Retail Pharmacy
  • Madison, TN
National Provider Identifier
1043685852
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00005703 Issued in TN
Legal business name
RAMS PHARMACY LLC
Doing business as
Ram's Pharmacy LLC
Practice address
412 Gallatin Pike N
Madison, TN 37115-3706
Phone
(615) 454-3438
Fax
(615) 454-3424
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Ramesh Srinivasan
Title
RPH/Owner
Phone
(615) 454-3438

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 00005703 TN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

412 Gallatin Pike N
Madison, TN 37115-3706

Mailing address

412 Gallatin Pike N
Madison, TN 37115-3706
Phone (615) 454-3438

Other identifiers 2

IdentifierTypeStateIssuer
2155661OtherPK
Q045492MedicaidTN

Other names 1

  • Ram's Pharmacy LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208001353 TN Part B Supplier - Pharmacy 8729478698 Practice locations: Madison, TN

National Provider Directory

National Provider Directory
Tax ID family
Ram'S Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

412 Gallatin Pike N
Madison, TN 37115
Phone (615) 454-3438

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1043685852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153706",
            "telephone_number": "615-454-3438",
            "fax_number": "615-454-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153706",
            "telephone_number": "615-454-3438",
            "fax_number": "615-454-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "615-454-3438"
    },
    "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": "00005703",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045492",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ram's Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ram's Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.