Organization Active NPI

Hall Family Pharmacy Inc

Doing business as Hall Family Pharmacy

  • Community/Retail Pharmacy
  • Jamestown, TN
National Provider Identifier
1053735217
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00005328 Issued in TN
Legal business name
HALL FAMILY PHARMACY INC
Doing business as
Hall Family Pharmacy
Practice address
205 S Main St
Jamestown, TN 38556-3749
Phone
(931) 879-9997
Fax
(931) 879-9995
NPI assigned
Feb 8, 2014
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Philip Hall, PHARMDNPI 1093853913
Title
Owner / Pharmacist
Phone
(931) 319-4179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 00005328 TN Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

205 S Main St
Jamestown, TN 38556-3749

Mailing address

PO Box 420
Jamestown, TN 38556-0420
Phone (931) 879-9997

Other identifiers 2

IdentifierTypeStateIssuer
2144266OtherPK
Q032864MedicaidTN

Other names 1

  • Hall Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hall Family Pharmacy2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1391817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1053735217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560420",
            "telephone_number": "931-879-9997",
            "fax_number": "931-879-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563749",
            "telephone_number": "931-879-9997",
            "fax_number": "931-879-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "931-319-4179",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00005328",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032864",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hall Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.