Organization Active NPI

Med-Scripts LLC

  • Community/Retail Pharmacy
  • Crossville, TN
National Provider Identifier
1215948898
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000003261 Issued in TN
Legal business name
MED-SCRIPTS LLC
Practice address
23 Woodmere Mall
Crossville, TN 38555-4231
Phone
(931) 456-8165
Fax
(931) 456-8163
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
James R Young, RPH
Title
Co-Owner
Phone
(931) 456-8165

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000003261 TN Primary

Addresses

Primary practice location

23 Woodmere Mall
Crossville, TN 38555-4231

Mailing address

23 Woodmere Mall
Crossville, TN 38555-4231
Phone (931) 456-8165

Other identifiers 2

IdentifierTypeStateIssuer
2092375OtherPK
1452346MedicaidTN

Other names 1

  • YOUNG PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217001531 TN Part B Supplier - Mass Immunization (Roster Biller Only) 2163543810 Practice locations: Crossville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2202088Med-Scripts LLC23 Woodmere Mall, Crossville, TN 38555Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory

Locations

23 Woodmere Mall
Crossville, TN 38555
Phone (931) 456-8165

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1215948898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WOODMERE MALL",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554231",
            "telephone_number": "931-456-8165",
            "fax_number": "931-456-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WOODMERE MALL",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554231",
            "telephone_number": "931-456-8165",
            "fax_number": "931-456-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SCRIPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "931-456-8165",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000003261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092375",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452346",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUNG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YOUNG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.