Down Home RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DOWN HOME RX LLC

Doing business as

Down Home Pharmacy

Practice address

1034 Main St
Bean Station, TN 37708-4257

Phone

(865) 993-4074

Fax

(865) 993-4194

NPI assigned

Nov 17, 2022

Last updated

Jan 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Ryan Kragel, PHARMD

Title

Owner/President

Phone

(865) 993-4074

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Down Home Pharmacy Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1093424129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAIN ST",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377084257",
            "telephone_number": "865-993-4074",
            "fax_number": "865-993-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAIN ST",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377084257",
            "telephone_number": "865-993-4074",
            "fax_number": "865-993-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN HOME RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "KRAGEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-993-4074",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046113",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "97.89.37.126",
            "affiliation": "N",
            "endpointDescription": "Static IP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1034 Main St",
            "city": "Bean Station",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377084257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Down Home Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Down Home Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Down Home Pharmacy
• Down Home RX LLC (Down Home Pharmacy)
• Stephanie A Dubberly, BEHAVIOR ASSISTANT
• Amelia Brooke Fitchpatrick, MSN, FNP-C
• Gotcha Transportation LLC
• Rosalyn Guardino, RPH

• Long Term Care Pharmacy in Bean Station, TN
• Providers in Bean Station, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.