Organization Active NPI

Doctors Hospital Pharmacy Inc

  • Community/Retail Pharmacy
  • Morristown, TN
National Provider Identifier
1124199146
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DOCTORS HOSPITAL PHARMACY INC
Practice address
420 W Morris Blvd Ste 160B
Morristown, TN 37813-2262
Phone
(423) 586-6612
Fax
(423) 586-1431
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Terry Brimer, PHRMD
Title
President
Phone
(423) 586-6612

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Institutional Pharmacy 3336I0012X
Institutional Pharmacy 3336I0012X 1241 TN
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

420 W Morris Blvd Ste 160B
Morristown, TN 37813-2262

Mailing address

420 W Morris Blvd Ste 160B
Morristown, TN 37813-2262

Other identifiers 4

IdentifierTypeStateIssuer
1452927MedicaidTN
3519293MedicaidTN
4409644OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0126540003OtherTNPALMETTO GBA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1124199146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 160B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 160B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132262",
            "telephone_number": "423-586-6612",
            "fax_number": "423-586-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "BRIMER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-586-6612",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TN",
            "license": "1241",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452927",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3519293",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4409644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0126540003",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.