Middle Tennessee Pharmacy Services LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

0000004147 Issued in TN

Legal business name

MIDDLE TENNESSEE PHARMACY SERVICES LLC

Practice address

336 S Cannon Blvd
Shelbyville, TN 37160-3914

Phone

(931) 684-9987

Fax

(931) 684-9995

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Russ Spivey, D.P. H.

Title

Pharmacist in Charge

Phone

(931) 684-9987

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1255593067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S CANNON BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603914",
            "telephone_number": "931-684-9987",
            "fax_number": "931-684-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S CANNON BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603914",
            "telephone_number": "931-684-9987",
            "fax_number": "931-684-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "931-684-9987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P. H."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "0000004147",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "0000004147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Shelbyville, TN
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• Compounding Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.