Organization Active NPI

T & W Incorporated

Doing business as Tiptonville Health Mart Drug

  • Community/Retail Pharmacy
  • Tiptonville, TN
National Provider Identifier
1154336758
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1160 Issued in TN
Legal business name
T & W INCORPORATED
Doing business as
Tiptonville Health Mart Drug
Practice address
139 Church St
Tiptonville, TN 38079-1374
Phone
(731) 253-7411
Fax
(731) 253-7304
NPI assigned
Jul 30, 2006
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
JC Williams, RPHNPI 1922057637
Title
Owner
Phone
(731) 253-7411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1160 TN Primary

Addresses

Primary practice location

139 Church St
Tiptonville, TN 38079-1374

Mailing address

139 Church St
Tiptonville, TN 38079-1374
Phone (731) 253-7411

Other identifiers 2

IdentifierTypeStateIssuer
1454251MedicaidTN
2089602OtherPK

Other names 1

  • TIPTONVILLE HEALTH MART DRUG Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1154336758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHURCH ST",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791374",
            "telephone_number": "731-253-7411",
            "fax_number": "731-253-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CHURCH ST",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791374",
            "telephone_number": "731-253-7411",
            "fax_number": "731-253-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & W INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-253-7411",
        "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": "1160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454251",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIPTONVILLE HEALTH MART DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiptonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.