Abyrd Pharmacy Investments LLC
Organization Active NPI Community/Retail Pharmacy · Clarksville, TN
NPI 1104583723 · NPPES record last updated Dec 7, 2025
Key facts
- NPI
- 1104583723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ABYRD PHARMACY INVESTMENTS LLC
- Practice address
- 2622 Madison St Ste a
Clarksville, TN 37043-6549 - Phone
- (931) 919-2491
- Fax
- (931) 919-2488
- NPI assigned
- Nov 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Andrew Byrd
- Title
- Owner
- Phone
- (931) 919-2491
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221130002099 | TN | Part B Supplier - Pharmacy | 1052789716 | Practice locations: Clarksville, TN |
National Provider Directory
Locations
2622 Madison St
Ste A
Clarksville, TN 37043
Phone (931) 919-2491
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2622 Madison St Ste a
Clarksville, TN 37043-6549
Mailing address
2622 Madison St Ste a
Clarksville, TN 37043-6549
Phone (931) 919-2491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q071201 | Medicaid | TN |
Other names
- Sango Pharmacy
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.