NPIMap

Organization Active NPI

Pruitt's Discount Pharmacy, LLC

Doing business as Pruitt's Wellness Clinic, LLC

  • Urgent Care Clinic/Center
  • Nashville, TN
National Provider Identifier
1245600618
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
11293 Issued in TN
Legal business name
PRUITT'S DISCOUNT PHARMACY, LLC
Doing business as
Pruitt's Wellness Clinic, LLC
Practice address
811 Dickerson Pike
C
Nashville, TN 37207-5632
Phone
(615) 562-6337
Fax
(615) 369-8759
NPI assigned
Sep 29, 2015
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Shawn Degeorge Pruitt Sr., PHARM.D.NPI 1902173180
Title
Owner
Phone
(615) 562-6337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 11293 TN
Research Clinic/Center 261QR1100X 11293 TN
Urgent Care Clinic/Center 261QU0200X 11293 TN Primary

Addresses

Primary practice location

811 Dickerson Pike
C
Nashville, TN 37207-5632

Mailing address

811 Dickerson Pike
C
Nashville, TN 37207-5632
Phone (615) 562-6337

Other names 1

  • Pruitt's Wellness Clinic, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pruitt's Discount Pharmacy LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1245600618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DICKERSON PIKE",
            "address_2": "C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075632",
            "telephone_number": "615-562-6337",
            "fax_number": "615-369-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 DICKERSON PIKE",
            "address_2": "C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075632",
            "telephone_number": "615-562-6337",
            "fax_number": "615-369-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITT'S DISCOUNT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DEGEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-562-6337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "11293",
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "TN",
            "license": "11293",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TN",
            "license": "11293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pruitt's Wellness Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.