Active NPI
Professional Arts Pharmacy, LLC
Doing business as Professional Arts Pharmacy
- Community/Retail Pharmacy
- Lexington, TN
National Provider Identifier
1154402667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3096
- Legal business name
- PROFESSIONAL ARTS PHARMACY, LLC
- Doing business as
- Professional Arts Pharmacy
- Practice address
- 148 W Church St
Lexington, TN 38351 - Phone
- (731) 968-5474
- Fax
- (731) 968-5369
- NPI assigned
- Oct 18, 2006
- 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
- Samuel D Pace, PHARMD
- Title
- Owner
- Phone
- (731) 614-4259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 3096 | TN | Primary |
Addresses
Primary practice location
148 W Church St
Lexington, TN 38351
Mailing address
148 W Church St
Lexington, TN 38351
Phone (731) 968-5474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452402 | Medicaid | TN | |
| 4430144 | Other | TN | NABP |
Other names 1
- Professional Arts Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Professional Arts Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Professional Arts Pharmacy
- Pharmacy
- Lexington, TN
- NPI 1407576606
-
- Long Term Care Pharmacy
- Lexington, TN
- NPI 1538799655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633478400000",
"number": "1154402667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W CHURCH ST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "38351",
"telephone_number": "731-968-5474",
"fax_number": "731-968-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W CHURCH ST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "38351",
"telephone_number": "731-968-5474",
"fax_number": "731-968-5369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ARTS PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-614-4259",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "3096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452402",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4430144",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Arts Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.