Disney Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1945 Issued in TN

Legal business name

DISNEY PHARMACY SERVICES INC

Practice address

2141 W Emory Rd
Powell, TN 37849-3704

Phone

(865) 947-1581

Fax

(865) 947-4353

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dwight Disney, RPHNPI 1639943277

Title

Owner,Pic,Ao

Phone

(865) 947-1581

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VAUGHN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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

• Dwight Alan Disney, PHARMD

  • Pharmacist
  • Powell, TN
  • NPI 1639943277
  NPD Authorized official
• Sara Jane Ellison

  • Pharmacist
  • Powell, TN
  • NPI 1164014502
  NPD (past)
• William David Kearney, RPH

  • Pharmacist
  • Powell, TN
  • NPI 1629660014
  NPD (past)
• Madison Thress, PHARMD

  • Pharmacist
  • Powell, TN
  • NPI 1659944882
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1124198205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 W EMORY RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493704",
            "telephone_number": "865-947-1581",
            "fax_number": "865-947-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 W EMORY RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493704",
            "telephone_number": "865-947-1581",
            "fax_number": "865-947-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISNEY PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "DISNEY",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "865-947-1581",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAUGHN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard J Depersio, M.D.
• Dermatology Specialists PLLC
• Devils Ractrack Holdings, Inc
• Joshua Deweese
• Megan Dick-Alvarez, DO
• Disney Pharmacy Services Inc
• Dwight Alan Disney, PHARMD
• Divinely Designed Midwifery, LLC
• Frances L DO, PA
• Elizabeth Doan, PT

• Community/Retail Pharmacy in Powell, TN
• Providers in Powell, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.