Philip M Hall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21874 Issued in TN

Practice address

433 W Central Ave
Hall Family Pharmacy
Jamestown, TN 38556-3004

Phone

(931) 879-9997

Fax

(931) 879-9995

NPI assigned

Feb 2, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hall Family Pharmacy Inc

  dba Hall Family Pharmacy

  • Community/Retail Pharmacy
  • Jamestown, TN
  • NPI 1053735217
  Authorized official Same address or phone
• Hall Family Pharmacy Inc

  dba Hall Family Pharmacy at Clarkrange

  • Community/Retail Pharmacy
  • Clarkrange, TN
  • NPI 1558734186

  Durable Medical Equipment & Medical Supplies

  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093853913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560420",
            "telephone_number": "931-879-9997",
            "fax_number": "931-879-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W CENTRAL AVE",
            "address_2": "HALL FAMILY PHARMACY",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563004",
            "telephone_number": "931-879-9997",
            "fax_number": "931-879-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PHILIP",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "00005328",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "00005328",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "21874",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00005328",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TN",
            "license": "00005328",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "00005328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4446476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "00005328",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Ann Green, CNP GNP
• David A. Grigsby, M.D.
• Miriam Ines Guerrero
• Gurnard Emergency Physicians LLC
• Hall Family Pharmacy Inc (Hall Family Pharmacy)
• Wendy Hinds
• Hma Fentress County General Hospital (Jamestown Regional Medical Center)
• Hma Fentress County General Hospital Inc (Jamestown Regional CRNA)
• Hma Fentress County General Hospital LLC (Tennova Healthcare-Jamestown)
• Hma Fentress County General Hospital LLC (Tennova Healthcare-Jamestown)

• Pharmacist in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.