Tricare Pharmacy LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

TRICARE PHARMACY LLC

Practice address

710 Nashville Pike Ste 101
Gallatin, TN 37066-4592

Phone

(615) 461-7078

Fax

(615) 461-8864

NPI assigned

Oct 6, 2025

Organization subpart

No

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

Authorized official

Name

Jeobu Peter, MPHARM, DPHNPI 1942581053

Title

Pharmacy Manager & Pic

Phone

(615) 461-7078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PrimeCare Pharmacy Doing business as

Tax ID family

Primecare Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tricare Pharmacy LLC

  • Community/Retail Pharmacy
  • Gallatin, TN
  • NPI 1003166943
  NPD tax ID

Practitioners 1

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

• Jeobu Peter, MPHARM

  • Pharmacist
  • Gallatin, TN
  • NPI 1942581053
  NPD Authorized official

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1326913872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 101",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 101",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "615-461-7078",
            "fax_number": "615-461-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "JEOBU",
        "authorized_official_title_or_position": "PHARMACY MANAGER & PIC",
        "authorized_official_telephone_number": "615-461-7078",
        "authorized_official_credential": "MPHARM, DPH"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036762",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trailhead Pediatric Dentistry
• Jennifer G Travis
• James Andrew Treimanis
• Tricare Medical Supplies, Inc.
• Tricare Pharmacy LLC
• Tricare Rehabilitation Services, Inc.
• Trinity Pediatrics, P.C.
• Courtney Lynn Tripp
• Kelly Gosnell Troutt, RD
• John Kerwin Trussell, M.D.

• Home Infusion Therapy Pharmacy in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Home Infusion Therapy Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.