Organization Active NPI

Donelson Drug Mart

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1063583276
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2159 Issued in TN
Legal business name
DONELSON DRUG MART
Doing business as
DDM, INC
Practice address
2608 Lebanon Pike
Nashville, TN 37214-2403
Phone
(615) 883-8515
Fax
(615) 883-8553
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Mr. James Shelly, DPHNPI 1093060329
Title
Owner
Phone
(615) 883-8515

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 2159 TN Primary

Addresses

Primary practice location

2608 Lebanon Pike
Nashville, TN 37214-2403

Mailing address

2608 Lebanon Pike
Nashville, TN 37214-2403
Phone (615) 883-8515

Other names 1

  • DDM, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101001114 TN Part B Supplier - Mass Immunization (Roster Biller Only) 6901868934 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

2608 Lebanon Pike
Nashville, TN 37214
Phone (615) 883-8515

Practitioners & affiliated clinicians

Practitioners 2

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1063583276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 LEBANON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142403",
            "telephone_number": "615-883-8515",
            "fax_number": "615-883-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 LEBANON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142403",
            "telephone_number": "615-883-8515",
            "fax_number": "615-883-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONELSON DRUG MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-883-8515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "2159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDM, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.