Organization Active NPI

Bretthaven Inc

Doing business as Algood Drugs

  • Community/Retail Pharmacy
  • Cookeville, TN
National Provider Identifier
1063743904
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4740 Issued in TN
Legal business name
BRETTHAVEN INC
Doing business as
Algood Drugs
Practice address
606 W Main St
Suite a
Cookeville, TN 38506-5325
Phone
(931) 537-3211
Fax
(931) 537-9994
NPI assigned
Jan 15, 2010
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Rachel Cross
Title
Owner/Ceo
Phone
(931) 537-3211

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 4740 TN Primary
Home Infusion Therapy Pharmacy 3336H0001X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

606 W Main St
Suite a
Cookeville, TN 38506-5325

Mailing address

263 Haven LN
Cookeville, TN 38506-5756
Phone (931) 537-6782

Other identifiers 1

IdentifierTypeStateIssuer
2123391OtherPK

Other names 1

  • Algood Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000287 TN Part B Supplier - Mass Immunization (Roster Biller Only) 6901097385 Practice locations: Cookeville, TN

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, 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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1063743904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HAVEN LN",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065756",
            "telephone_number": "931-537-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAIN ST",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065325",
            "telephone_number": "931-537-3211",
            "fax_number": "931-537-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETTHAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "931-537-3211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4740",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123391",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Algood Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.