Erin Drugs, LLC
Organization Active NPI Community/Retail Pharmacy · Erin, TN
NPI 1093350753 · NPPES record last updated Apr 16, 2023
Key facts
- NPI
- 1093350753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ERIN DRUGS, LLC
- Practice address
- 5897 E Main St # 1
Erin, TN 37061-4168 - Phone
- (931) 289-5995
- NPI assigned
- Nov 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Jimmy Tucker
- Title
- Ceo
- Phone
- (601) 946-1826
Practitioners 1
-
Michael A Wright, DPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2326930 | Erin Drugs | Certificate of waiver | Jul 13, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Erin Drugs, LLC |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200302001277 | TN | Part B Supplier - Pharmacy | 8123453404 | Practice locations: Erin, TN |
| O20200303002646 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 8123453404 | Practice locations: Erin, TN |
| O20200506001238 | TN | DME Supplier - Pharmacy | 8123453404 | Practice locations: Erin, TN |
National Provider Directory
Locations
5897 E Main St
Ste A
Erin, TN 37061
Phone (931) 289-5995
5897 E Main St
#1
Erin, TN 37061
Phone (931) 289-5995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
5897 E Main St # 1
Erin, TN 37061-4168
Mailing address
10394 Tidwell Rd
Bon Aqua, TN 37025-1567
Phone (601) 946-1826
Other providers in Erin, TN
- Cecilia Davis
- Depriest Radiology Services PLC
- Dickson Medical Equipment, Inc
- Carrie Beth Dunavant
- Elevate Pediatric Therapy, LLC
- Erin Family Dental
- Erin Family Medicine, PLLC
- Ess of Erin LLC
- Freds Stores of Tennessee Inc
- Frontline Staffing Agency LLC
All providers in Erin, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.