Active NPI
Larry Bradford Vaughn, PHARMD
- Pharmacist
- Monterey, TN
National Provider Identifier
1336734458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12246
- Practice address
- 201 N Elmore St Ste F
Monterey, TN 38574-1260 - Phone
- (931) 839-6777
- Fax
- (931) 839-6779
- NPI assigned
- Mar 2, 2021
- Last updated
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12246 | TN | Primary |
Addresses
Primary practice location
201 N Elmore St Ste F
Monterey, TN 38574-1260
Mailing address
201 N Elmore St Ste F
Monterey, TN 38574-1260
Phone (931) 839-6777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | montereydrugs@charter.net | Direct | Monterey Drugs Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Drugs Inc | Current | Accepting new patients |
Locations
201 N Elmore St
Ste F
Monterey, TN 38574
Phone (931) 839-6777
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1336734458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N ELMORE ST STE F",
"city": "MONTEREY",
"state": "TN",
"postal_code": "385741260",
"telephone_number": "931-839-6777",
"fax_number": "931-839-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N ELMORE ST STE F",
"city": "MONTEREY",
"state": "TN",
"postal_code": "385741260",
"telephone_number": "931-839-6777",
"fax_number": "931-839-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "LARRY",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12246",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "montereydrugs@charter.net",
"affiliation": "Y",
"endpointDescription": "Company Email",
"affiliationName": "Monterey Drugs Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "201 N Elmore St Ste F",
"city": "Monterey",
"state": "TN",
"country_code": "US",
"postal_code": "385741260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Monterey, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.