NPIMap

Organization Active NPI

Gleason City Drug Store, LLC

Doing business as City Drug Store

  • Pharmacist
  • Gleason, TN
National Provider Identifier
1336282227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5352 Issued in TN
Legal business name
GLEASON CITY DRUG STORE, LLC
Doing business as
City Drug Store
Practice address
102 Main St
Gleason, TN 38229-7268
Phone
(731) 648-5146
Fax
(731) 648-5524
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Krista R. Morse, DPHNPI 1619010253
Title
Owner
Phone
(731) 648-5146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5352 TN Primary

Addresses

Primary practice location

102 Main St
Gleason, TN 38229-7268

Mailing address

102 Main St
Gleason, TN 38229-7268
Phone (731) 648-5146

Other names 1

  • City Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

102 Main St
Gleason, TN 38229
Phone (731) 648-5146

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336282227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GLEASON",
            "state": "TN",
            "postal_code": "382297268",
            "telephone_number": "731-648-5146",
            "fax_number": "731-648-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GLEASON",
            "state": "TN",
            "postal_code": "382297268",
            "telephone_number": "731-648-5146",
            "fax_number": "731-648-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEASON CITY DRUG STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-648-5146",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "5352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gleason, TN

Sources for this page

  • 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.