Scotts Hill Discount Drugs,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SCOTTS HILL DISCOUNT DRUGS,LLC

Doing business as

Scotts Hill Discount Drugs

Practice address

640 Highway 114 South
Scotts Hill, TN 38374-5023

Phone

(731) 549-3927

Fax

(731) 549-2323

NPI assigned

Oct 26, 2012

Last updated

Jan 28, 2021By 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

Samuel D Pace, PHARMD

Title

Owner

Phone

(731) 614-4259

Specialties & licenses 1

Addresses

Other names 2

• Scotts Hill Discount Drugs Doing business as
• Freds Pharmacy #3918 Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1255685384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "38351",
            "telephone_number": "731-968-4201",
            "fax_number": "731-967-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGHWAY 114 SOUTH",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "383745023",
            "telephone_number": "731-549-3927",
            "fax_number": "731-549-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS HILL DISCOUNT DRUGS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-614-4259",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotts Hill Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freds Pharmacy #3918",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Misty Kelley, APN
• Shaunda L. Lewis, A.P.R.N., B.C.
• Justin G Morris, PT
• Penny J Pope, FNP
• Premier Family Care Inc.
• Scotts Hill Medical Clinic, Inc
• Linda S Siegl, FNP
• The Grove Primary Care Clinic LLC
• Tad Duane Ward, FNP
• Amber Nicole Wyatt, FNP

• Community/Retail Pharmacy in Scotts Hill, TN
• Providers in Scotts Hill, 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 Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.