Organization Active NPI

Varsity Drugs & Compounding, LLC

  • Community/Retail Pharmacy
  • Cookeville, TN
National Provider Identifier
1134470362
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5064 Issued in TN
Legal business name
VARSITY DRUGS & COMPOUNDING, LLC
Practice address
601 Vickers PL
Cookeville, TN 38501-3948
Phone
(931) 526-8778
Fax
(931) 526-8777
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Ronald Joe Whaley, PHARM.D.
Title
Owner/Pharmacist in Charge
Phone
(615) 848-8364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5064 TN Primary
Compounding Pharmacy 3336C0004X 5064 TN

Addresses

Primary practice location

601 Vickers PL
Cookeville, TN 38501-3948

Mailing address

601 Vickers PL
Cookeville, TN 38501-3948
Phone (931) 526-8778

National Provider Directory

National Provider Directory

Locations

601 Vickers Pl
Cookeville, TN 38501
Phone (931) 526-8778

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1134470362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VICKERS PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013948",
            "telephone_number": "931-526-8778",
            "fax_number": "931-526-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VICKERS PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013948",
            "telephone_number": "931-526-8778",
            "fax_number": "931-526-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSITY DRUGS & COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "615-848-8364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5064",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "5064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.