Blue Front Drug, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1204 Issued in TN

Legal business name

BLUE FRONT DRUG, INC

Doing business as

Blue Front Drug

Practice address

107 1St Ave NW
Winchester, TN 37398-1643

Phone

(931) 967-2251

Fax

(931) 967-6646

NPI assigned

Oct 25, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Herd

Title

Pic/President

Phone

(931) 967-2251

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BLUE FRONT DRUG Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1306920434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 1ST AVE NW",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981643",
            "telephone_number": "931-967-2251",
            "fax_number": "931-967-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 1ST AVE NW",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981643",
            "telephone_number": "931-967-2251",
            "fax_number": "931-967-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FRONT DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HERD",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PIC/PRESIDENT",
        "authorized_official_telephone_number": "931-967-2251"
    },
    "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": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088179",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4412007",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9441063",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE FRONT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan W Barstow, MSPT
• Mircea M Basaraba, MD
• Jennifer Fay Bean Bradford, COTA/L
• Ryan Bearer, D.O.
• Nancy Yoakum Blevins, MD
• Blue Front Drug, LLC
• Blue Front Drug,Inc
• Aimee Bolinger, PT
• Tabatha Boyles
• Kim Yvonne Branham, D.C.

• Community/Retail Pharmacy in Winchester, TN
• Providers in Winchester, 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 Jan 14, 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.