NPIMap

Organization Active NPI

Buchheit Drug Corporation

Doing business as Medi-Thrift Pharmacy

  • Pharmacy
  • Jamestown, TN
National Provider Identifier
1184629362
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0000001962 Issued in TN
Legal business name
BUCHHEIT DRUG CORPORATION
Doing business as
Medi-Thrift Pharmacy
Practice address
346 W Central Ave
Jamestown, TN 38556-3407
Phone
(931) 879-8133
Fax
(931) 879-9365
NPI assigned
Jun 15, 2005
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Mrs. Rayella Jo Vaughn, PHARM DNPI 1407942956
Title
Owner - Pharmacist
Phone
(931) 879-8133

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Pharmacy 333600000X 0000001962 TN Primary
Pharmacist 183500000X NU

Addresses

Primary practice location

346 W Central Ave
Jamestown, TN 38556-3407

Mailing address

PO Box 610
Jamestown, TN 38556-0610
Phone (931) 879-8133

Other identifiers 1

IdentifierTypeStateIssuer
3559215MedicaidTN

Other names 1

  • MEDI-THRIFT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930039234 TN DME Supplier - Pharmacy 9638297773 Practice locations: Jamestown, TN
O20140801000757 TN Part B Supplier - Mass Immunization (Roster Biller Only) 9638297773 Practice locations: Jamestown, TN
O20170515002297 TN Part B Supplier - Pharmacy 9638297773 Practice locations: Jamestown, TN

National Provider Directory

National Provider Directory
Tax ID family
Buchheit Drug Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

346 Central Ave W
Jamestown, TN 38556
Phone (931) 879-8133

Practitioners & affiliated clinicians

Practitioners 8

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1184629362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560610",
            "telephone_number": "931-879-8133",
            "fax_number": "931-879-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 W CENTRAL AVE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563407",
            "telephone_number": "931-879-8133",
            "fax_number": "931-879-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHHEIT DRUG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "RAYELLA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER - PHARMACIST",
        "authorized_official_telephone_number": "931-879-8133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000001962",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3559215",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI-THRIFT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.