Organization Active NPI

First Pharmacy Services of Country Village

  • Pharmacy
  • Cordova, TN
National Provider Identifier
1043687379
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0000005606 Issued in TN
Legal business name
FIRST PHARMACY SERVICES OF COUNTRY VILLAGE
Practice address
8130 Country Village Dr
Cordova, TN 38016-2087
Phone
(901) 590-3069
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Dr. Denise Pratt
Title
Owner
Phone
(901) 590-3069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0000005606 TN Primary

Addresses

Primary practice location

8130 Country Village Dr
Cordova, TN 38016-2087

Mailing address

PO Box 47
Pope, MS 38658-0047

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.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1043687379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "POPE",
            "state": "MS",
            "postal_code": "386580047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "901-590-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHARMACY SERVICES OF COUNTRY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-590-3069",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000005606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.