NPIMap

Organization Active NPI

Prohealth Rural Health Services Inc.

Doing business as Prohealth Rural Health Services

  • Community/Retail Pharmacy
  • Franklin, TN
National Provider Identifier
1306255740
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000005345 Issued in TN
Legal business name
PROHEALTH RURAL HEALTH SERVICES INC.
Doing business as
Prohealth Rural Health Services
Practice address
1325 W Main St
Franklin, TN 37064-3786
Phone
(615) 212-9915
Fax
(615) 794-0041
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Kevin Lyles
Title
Pharmacist in Charge
Phone
(615) 212-9915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0000005345 TN Primary

Addresses

Primary practice location

1325 W Main St
Franklin, TN 37064-3786

Mailing address

1325 W Main St
Franklin, TN 37064-3786
Phone (615) 212-9915

Other identifiers 2

IdentifierTypeStateIssuer
441891MedicaidTN
2146957OtherPK

Other names 1

  • Prohealth Rural Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Rural Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1306255740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W MAIN ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643786",
            "telephone_number": "615-212-9915",
            "fax_number": "615-794-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W MAIN ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643786",
            "telephone_number": "615-212-9915",
            "fax_number": "615-794-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH RURAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "615-212-9915"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000005345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441891",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prohealth Rural Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.