Organization Active NPI

Nashville Family Pharmacy LLC

  • Long Term Care Pharmacy
  • Nashville, AR
National Provider Identifier
1093592016
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NASHVILLE FAMILY PHARMACY LLC
Practice address
330 S Main St
Nashville, AR 71852-2410
Phone
(870) 912-0858
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Zachary Tyler TollettNPI 1063147676
Title
Member/Pic
Phone
(870) 912-0858

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

330 S Main St
Nashville, AR 71852-2410

Mailing address

330 S Main St
Nashville, AR 71852-2410

Other names 1

  • Nashville Family Pharmacy Long-Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nashville Family Pharmacy LLC2 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.

Locations

330 S Main St
Nashville, AR 71852
Phone (870) 912-0858

Practitioners & affiliated clinicians

Practitioners 1

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1093592016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522410",
            "telephone_number": "870-912-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "TOLLETT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "MEMBER/PIC",
        "authorized_official_telephone_number": "870-912-0858"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville Family Pharmacy Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.