Ammed Direct LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4128 Issued in TN

Legal business name

AMMED DIRECT LLC

Doing business as

Ammed Homecare Pharmacy

Practice address

5720 Crossings Blvd
Ste B
Antioch, TN 37013-3144

Phone

(615) 941-3800

Fax

(615) 941-3822

NPI assigned

Feb 28, 2006

Last updated

Aug 26, 2015By 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

Kelly R Thomas

Title

Secretary

Phone

(615) 905-5200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AMMED HOMECARE PHARMACY Doing business as

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1215903182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291569",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 CROSSINGS BLVD",
            "address_2": "STE B",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133144",
            "telephone_number": "615-941-3800",
            "fax_number": "615-941-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMED DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-905-5200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4128",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145504",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4438001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMMED HOMECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mustafa Alrubaye
• Letericus Santrice Alston
• Maame Amankwah, DNP/APRN-BC
• Bri Amann, CD
• American Health Imaging S, LLC (American Health Associates)
• Ammed Direct LLC
• Ammed Direct, LLC (AmMed HomeCare Pharmacy)
• Anba Abraam Medical Clinic
• Andre L Anderson, BCBA
• Marie C Anderson

• Community/Retail Pharmacy in Antioch, TN
• Providers in Antioch, 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 Aug 26, 2015; 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.