Ledbetter Drug Co.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000000602 Issued in TN

Legal business name

LEDBETTER DRUG CO.

Practice address

47 Public SQ
Lawrenceburg, TN 38464-3352

Phone

(931) 762-3535

Fax

(931) 762-0048

NPI assigned

Jan 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roy M. Ledbetter, RPH

Title

Pharmacist, Owner

Phone

(931) 762-3535

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306997770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PUBLIC SQ",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643352",
            "telephone_number": "931-762-3535",
            "fax_number": "931-762-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PUBLIC SQ",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643352",
            "telephone_number": "931-762-3535",
            "fax_number": "931-762-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDBETTER DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACIST, OWNER",
        "authorized_official_telephone_number": "931-762-3535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000000602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9440647",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Pharmacist in Tennessee

• 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.