Seymour Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SEYMOUR PHARMACY INC.

Doing business as

Seymour Advalue Pharmacy

Practice address

10721 Chapman Hwy Ste 6
Seymour, TN 37865-4771

Phone

(865) 577-0471

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By 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

Bobby Joe Graham

Title

Owner/Pharmacist

Phone

(865) 577-0471

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seymour Advalue Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1245868850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY STE 6",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY STE 6",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654771",
            "telephone_number": "865-577-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "865-577-0471"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452075",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seymour Advalue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Seymour Pharmacy Inc. (DBA Seymour Advalue Pharmacy)
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• Lisa Nicole Simcox, R.N.
• Brittany R. Simpson, FNP
• Tammy Sizemore

• Long Term Care Pharmacy in Seymour, TN
• Providers in Seymour, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.