Morristown Pharmacist Group, LLC Dba M.D. Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MORRISTOWN PHARMACIST GROUP, LLC DBA M.D. PHARMACY

Practice address

1467 W Morris Blvd
Morristown, TN 37813

Phone

(423) 289-1111

Fax

(423) 289-1121

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 2

• Bunch Medical LLC Doing business as
• Bunch Medical, LLC DBA M.D. Pharmacy Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127421",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036280",
            "state": "IN"
        }
    ],
    "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"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Morristown, TN
• Providers in Morristown, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• 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.

Verify at the official NPI Registry.