West TN Pharmaceutical Care, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WEST TN PHARMACEUTICAL CARE, LLC

Practice address

24 Nolan CV
Jackson, TN 38305

Phone

(731) 554-9872

Fax

(731) 554-9874

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Donna Shofe, RPHNPI 1356573380

Title

Member, Manager

Phone

(731) 554-9872

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Shofe

  • Pharmacist
  • Jackson, TN
  • NPI 1356573380
  NPD Authorized official

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1114156403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NOLAN COVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-554-9872",
            "fax_number": "731-554-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NOLAN CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-554-9872",
            "fax_number": "731-554-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TN PHARMACEUTICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "SHOFE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "731-554-9872",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "4669",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517572",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Tennessee Transitional Care LLC
• West Tennessee Walk in Clinic, Inc
• West TN Auto Care Inc.
• West TN Developmental Services
• West TN Neuropsychology & Mental Health Center
• Alecia Caldwell West, RN
• Mark Ellis West, PHARM.D.
• Naadia West, MD
• Adam Westmoreland, MSSW
• Stacey Whalley, MSN, FNP-BC

• Long Term Care Pharmacy in Jackson, TN
• Providers in Jackson, 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 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.