City Drug Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITY DRUG MEDICAL EQUIPMENT, LLC

Practice address

110 S Washington Ave
Henderson, TN 38340-2322

Phone

(731) 989-7002

Fax

(731) 989-9685

NPI assigned

Aug 7, 2008

Last updated

Aug 7, 2008By 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

Mr. Robert Scott Laster, RRT

Title

Administrator

Phone

(731) 989-7002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1205082468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WASHINGTON AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402322",
            "telephone_number": "731-989-7002",
            "fax_number": "731-989-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WASHINGTON AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402322",
            "telephone_number": "731-989-7002",
            "fax_number": "731-989-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-989-7002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Rowland Cargile, MD
• 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 Store Inc (City Drug Xpress)
• City Drug Store Inc (City Drug Store of Henderson TN Inc)
• Stephanie M Coley, LCSW
• Shirley Ann Collier, APRN
• Stevie Cooksey

• Durable Medical Equipment & Medical Supplies in Henderson, TN
• Providers in Henderson, 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 Aug 7, 2008; 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.