NPIMap

Organization Active NPI

Phipps Pharmacy Inc

  • Long Term Care Pharmacy
  • Jackson, TN
National Provider Identifier
1295320836
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHIPPS PHARMACY INC
Practice address
19 Hughes Dr
Jackson, TN 38305-1510
Phone
(731) 668-9072
Fax
(731) 664-9760
NPI assigned
Mar 5, 2021
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PHIPPS PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Jerry Robert Phipps, PHARMDNPI 1306049630
Title
President and Ceo
Phone
(731) 352-0820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

19 Hughes Dr
Jackson, TN 38305-1510

Mailing address

205B Hospital Dr
MC Kenzie, TN 38201-1649
Phone (731) 352-0820

Other names 1

  • Phipps Pack Other name

National Provider Directory

National Provider Directory
Tax ID family
Phipps Pharmacy Inc4 organizations share this tax ID, including this one
Part of
Phipps Pharmacy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19 Hughes Dr
Jackson, TN 38305
Phone (731) 352-0820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1295320836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205B HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-0820",
            "fax_number": "731-352-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HUGHES DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051510",
            "telephone_number": "731-668-9072",
            "fax_number": "731-664-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHIPPS PHARMACY INC",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-352-0820",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phipps Pack",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.