NPIMap

Organization Active NPI

Shellnuts Aces Inc

  • Long Term Care Pharmacy
  • Livingston, TN
National Provider Identifier
1326527078
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
4949 Issued in TN
Legal business name
SHELLNUTS ACES INC
Doing business as
R & M Family Pharmacy
Practice address
1970 Bradford Hicks Dr Ste B
Livingston, TN 38570-2247
Phone
(931) 403-2552
Fax
(931) 403-2556
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Jonathan Clint Melton, PHARM D.
Title
President
Phone
(931) 403-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 4949 TN Primary

Addresses

Primary practice location

1970 Bradford Hicks Dr Ste B
Livingston, TN 38570-2247

Mailing address

1970 Bradford Hicks Dr Ste B
Livingston, TN 38570-2247
Phone (931) 403-2552

Other names 1

  • R & M Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shellnuts Aces Inc4 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": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1326527078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 BRADFORD HICKS DR STE B",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385702247",
            "telephone_number": "931-403-2552",
            "fax_number": "931-403-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 BRADFORD HICKS DR STE B",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385702247",
            "telephone_number": "931-403-2552",
            "fax_number": "931-403-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLNUTS ACES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-403-2552",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R & M Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R & M Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.