Medrock TN LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDROCK TN LLC

Practice address

6116 Shallowford Rd Ste 105
Chattanooga, TN 37421-7203

Phone

(423) 933-1610

Fax

(423) 933-1618

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Ahmed Ashraf Ahmed, R.PH., MBA

Title

Pharmacist in Charge

Phone

(423) 933-1610

Specialties & licenses 2

Addresses

Other names 1

• MedRock TN Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1154072882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD STE 105",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217203",
            "telephone_number": "423-933-1610",
            "fax_number": "423-933-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD STE 105",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217203",
            "telephone_number": "423-933-1610",
            "fax_number": "423-933-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDROCK TN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "423-933-1610",
        "authorized_official_credential": "R.PH., MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedRock TN Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedRock TN Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Chattanooga, TN
• Providers in Chattanooga, 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 Dec 6, 2022; 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.