Active NPI
Rams Pharmacy LLC
- Community/Retail Pharmacy
- Madison, TN
National Provider Identifier
1043685852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 00005703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155661 | Other | PK | |
| Q045492 | Medicaid | TN |
Other names 1
- Ram's Pharmacy LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211208001353 | TN | Part B Supplier - Pharmacy | 8729478698 | Practice locations: Madison, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Ram'S Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Smyrna, TN
- NPI 1891231734
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.