Active NPI
Mary Ann Story, R.PH.
- Pharmacist
- Savannah, TN
National Provider Identifier
1346542164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C5437
- Practice address
- 800 Wayne Rd
Walgreens
Savannah, TN 38375 - Phone
- (731) 926-1195
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- 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 | C5437 | TN | Primary |
Addresses
Primary practice location
800 Wayne Rd
Walgreens
Savannah, TN 38375
Mailing address
2610 Highway 57
Counce, TN 38326-2846
Phone (731) 610-5822
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5437 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Savannah, TN
- NPI 1922203033
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- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1346542164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 HIGHWAY 57",
"city": "COUNCE",
"state": "TN",
"postal_code": "383262846",
"telephone_number": "731-610-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WAYNE RD",
"address_2": "WALGREENS",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "38375",
"telephone_number": "731-926-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORY",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "C5437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.