City Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1341 Issued in TN

Legal business name

CITY DRUG STORE INC

Doing business as

City Drug Xpress

Practice address

226 North Ave
Henderson, TN 38340-1816

Phone

(731) 989-7884

Fax

(731) 989-2111

NPI assigned

Oct 12, 2006

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Morris, PHARMD

Title

Pic

Phone

(731) 989-7884

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CITY DRUG XPRESS Doing business as

Tax ID family

City Drug Institutional Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• City Drug Institutional Care

  • Long Term Care Pharmacy
  • Henderson, TN
  • NPI 1649475252
  NPD tax ID
• City Drug Store Inc

  dba City Drug Store of Henderson TN Inc

  • Community/Retail Pharmacy
  • Henderson, TN
  • NPI 1285670083
  NPD tax ID

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1184713877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383400224",
            "telephone_number": "731-989-2166",
            "fax_number": "731-989-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 NORTH AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401816",
            "telephone_number": "731-989-7884",
            "fax_number": "731-989-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "731-989-7884",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454894",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY DRUG XPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles E Rickard Jr FNP PC (The Rickard Clinic)
• Melissa Cherry
• Chester Co Healthcare, Inc. (Chester County Nursing Home)
• City Drug Institutional Care
• City Drug Medical Equipment, LLC
• City Drug Store Inc (City Drug Store of Henderson TN Inc)
• Stephanie M Coley, LCSW
• Shirley Ann Collier, APRN
• Stevie Cooksey
• Rhonda Shea Cooper, PT

• Community/Retail Pharmacy in Henderson, TN
• Providers in Henderson, 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 Feb 20, 2017; 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.