Organization Active NPI

Paris Pharmacy LLC

  • Community/Retail Pharmacy
  • Paris, TN
National Provider Identifier
1194069807
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARIS PHARMACY LLC
Practice address
1025 Mineral Wells Ave
Suite B
Paris, TN 38242-4947
Phone
(731) 571-1501
Fax
(731) 588-5137
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Mr. Scott A Aubuchon, DPH
Title
Owner/Pharmacist
Phone
(731) 407-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X TN Primary

Addresses

Primary practice location

1025 Mineral Wells Ave
Suite B
Paris, TN 38242-4947

Mailing address

1025 Mineral Wells Avenue
Suite B
Paris, TN 38242
Phone (731) 407-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323000933 TN Part B Supplier - Mass Immunization (Roster Biller Only) 9830496595 Practice locations: Paris, TN

National Provider Directory

National Provider Directory

Locations

1025 Mineral Wells Ave
Ste B
Paris, TN 38242
Phone (731) 407-7220

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1194069807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MINERAL WELLS AVENUE",
            "address_2": "SUITE B",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-407-7220",
            "fax_number": "731-407-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MINERAL WELLS AVE",
            "address_2": "SUITE B",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424947",
            "telephone_number": "731-571-1501",
            "fax_number": "731-588-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "AUBUCHON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "731-407-7220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.