Active NPI
T & W Incorporated
Doing business as Tiptonville Health Mart Drug
- Community/Retail Pharmacy
- Tiptonville, TN
National Provider Identifier
1154336758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1160
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- JC Williams, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454251 | Medicaid | TN | |
| 2089602 | Other | PK |
Other names 1
- TIPTONVILLE HEALTH MART DRUG
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Tiptonville, TN
- NPI 1922057637
-
- Pharmacist
- Tiptonville, TN
- NPI 1629015623
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
- Roberson Rike Clinic
- Rural Health Clinics of West TN, PLLC
- Vicki Thompson Sellers, PT
- Sandra Lynnette Smith, RN
- State of Tennessee (Lake County Health Department)
- Taylor Brothers Pharmacy LLC
- Tiptonville Family Pharmacy
- Total Renal Care Inc (Tiptonville Dialysis)
- Genie Sieber Ullrich, PT
- J.C. Williams
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.