Organization Active NPI

Neighborhood Pharmacy LLC

Doing business as Neighborhood Pharmacy

  • Pharmacy
  • Dyersburg, TN
National Provider Identifier
1336691856
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5879 Issued in TN
Legal business name
NEIGHBORHOOD PHARMACY LLC
Doing business as
Neighborhood Pharmacy
Practice address
1954 Saint John Ave Ste B
Dyersburg, TN 38024-2199
Phone
(731) 259-0404
Fax
(731) 259-0406
NPI assigned
Nov 1, 2016
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Brian Wright
Title
President
Phone
(731) 676-4534

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5879 TN Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1954 Saint John Ave Ste B
Dyersburg, TN 38024-2199

Mailing address

1954 Saint John Ave Ste B
Dyersburg, TN 38024-2199
Phone (731) 676-4534

Other identifiers 1

IdentifierTypeStateIssuer
2165911OtherPK

Other names 1

  • Neighborhood Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1954 Saint John Ave
Ste 2
Dyersburg, TN 38024
Phone (731) 259-0404

1954 Saint John Ave
Ste B
Dyersburg, TN 38024
Phone (731) 259-0404

Practitioners & affiliated clinicians

Practitioners 2

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": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1336691856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 SAINT JOHN AVE STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242199",
            "telephone_number": "731-676-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 SAINT JOHN AVE STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242199",
            "telephone_number": "731-259-0404",
            "fax_number": "731-259-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-676-4534"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "5879",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.