Scotts Hill Discount Drugs,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SCOTTS HILL DISCOUNT DRUGS,LLC

Practice address

640 Highway 114 South
Scotts Hill, TN 38374-5023

Phone

(731) 549-3927

Fax

(731) 549-2323

NPI assigned

Oct 26, 2012

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 identifiers 1

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4445501",
            "state": null
        }
    ],
    "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

• All providers in Scotts Hill, TN
• 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.