Organization Active NPI

Church Hill Drug Store

  • Pharmacist
  • Church Hill, TN
National Provider Identifier
1265457394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
164 Issued in TN
Legal business name
CHURCH HILL DRUG STORE
Practice address
104 Main St E
Church Hill, TN 37642
Phone
(423) 357-7441
Fax
(423) 357-1276
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mike Rogan
Title
Owner-Pharmocist
Phone
(423) 357-7441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 164 TN Primary

Addresses

Primary practice location

104 Main St E
Church Hill, TN 37642

Mailing address

104 Main St. East
Church Hill, TN 37642
Phone (423) 357-7441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265457394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST. EAST",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "37642",
            "telephone_number": "423-357-7441",
            "fax_number": "423-357-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST E",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "37642",
            "telephone_number": "423-357-7441",
            "fax_number": "423-357-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HILL DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER-PHARMOCIST",
        "authorized_official_telephone_number": "423-357-7441"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.