Buckeye Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0612 Issued in TN

Legal business name

BUCKEYE DRUGS INC.

Doing business as

Buckeye Drugs

Practice address

315 North Cumberland Street
Lebanon, TN 37087

Phone

(615) 444-2999

Fax

(615) 449-5364

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Cory D. McDonald, DPHNPI 1336440734

Title

President / Owner

Phone

(615) 444-2999

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Buckeye Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Dewayne McDonald, PHARM.D

  • Pharmacist
  • Lebanon, TN
  • NPI 1336440734
  NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1306917323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NORTH CUMBERLAND STREET",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "615-444-2999",
            "fax_number": "615-449-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORTH CUMBERLAND STREET",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "615-444-2999",
            "fax_number": "615-449-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "615-444-2999",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036281",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4401890",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chase Bruce
• Makayla Brunt
• Mallory Kate Bryan
• Bryants Clinic,P.C.
• Marti Ann Bryson, RN
• Buckeye Drugs Wellness LLC
• Emily R Bunn, PA-C
• Justin Burd, DC
• Merritt Burdge, APRN
• Nicholas Burge

• Community/Retail Pharmacy in Lebanon, TN
• Providers in Lebanon, 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 Mar 19, 2019; 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.