Active NPI
Morristown Pharmacist Group, LLC Dba M.D. Pharmacy
Doing business as Bunch Medical LLC
- Durable Medical Equipment & Medical Supplies
- Morristown, TN
National Provider Identifier
1194032730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MORRISTOWN PHARMACIST GROUP, LLC DBA M.D. PHARMACY
- Doing business as
- Bunch Medical LLC
- Practice address
- 1467 W Morris Blvd
Morristown, TN 37813 - Phone
- (423) 289-1111
- Fax
- (423) 289-1121
- NPI assigned
- Sep 2, 2010
- Last updated
- May 19, 2020
- 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
- Brooke L Mills
- Title
- Pic
- Phone
- (423) 289-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 4808 | TN | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1467 W Morris Blvd
Morristown, TN 37813
Mailing address
1467 W Morris Blvd
Morristown, TN 37813
Phone (423) 289-1111
Other names 2
- Bunch Medical LLC
- Bunch Medical, LLC DBA M.D. Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181215000297 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931468964 | Practice locations: Morristown, TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Morristown, TN
- NPI 1902440316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1194032730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 W MORRIS BLVD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37813",
"telephone_number": "423-289-1111",
"fax_number": "423-289-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 W MORRIS BLVD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37813",
"telephone_number": "423-289-1111",
"fax_number": "423-289-1121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRISTOWN PHARMACIST GROUP, LLC DBA M.D. PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-02",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "BROOKE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "423-289-1111"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "4808",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bunch Medical LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bunch Medical LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bunch Medical, LLC DBA M.D. Pharmacy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Morristown, TN
- Morristown Heart Consultants PLLC
- Morristown Heart, PLLC
- Morristown Imaging Consultants, P.C.
- Morristown MD Inc
- Morristown Orthotics & Prosthetics LLC
- Morristown Regional Eye Center
- Morristown Senior Services (Regency Retirement Village)
- Morristown-Hamblen Homecare and Hospice, LLC (University of TN Medical Center Home Health Services)
- Morristown-Hamblen Homecare and Hospice, LLC (University of TN Medical Center Hospice Services)
- Paulina Mosca, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.