DJB Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5950 Issued in TN

Legal business name

DJB PHARMACY LLC

Doing business as

DJB Pharmacy

Practice address

305 Lake Dr Ste 1
Somerville, TN 38068-9724

Phone

(901) 235-7188

Fax

(866) 201-2293

NPI assigned

Feb 23, 2017

Last updated

Apr 7, 2017By 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

Odell Glenn

Title

Pharmacist

Phone

(662) 252-8464

Specialties & licenses 2

Addresses

Other names 1

• DJB Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1245779255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LAKE DR",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689724",
            "telephone_number": "901-235-7188",
            "fax_number": "866-201-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LAKE DR STE 1",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689724",
            "telephone_number": "901-235-7188",
            "fax_number": "866-201-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJB PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "ODELL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "662-252-8464"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DJB Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily R Crout, D. PH.
• Kristy L Daniels, FNP
• David L Seaton (Seaton Family Practice)
• Deborah Louise Davis, CPHT
• Deanna Elsea, M.D. (Somerville Medical Clinic)
• Doc Supply of West Tennessee, LLC
• Shanice Douglas
• Dwayne F Richardson DDS Estate (Richardson Family Dentistry)
• Elite Pediatric and Adolescent Medicine
• Michelle G Elrod, FNP-C

• Community/Retail Pharmacy in Somerville, TN
• Providers in Somerville, 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 Apr 7, 2017; 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.