A&a Apothecary LLC
Organization Active NPI Community/Retail Pharmacy · Gleason, TN
NPI 1346690278 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1346690278
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- C000392 (TN)
- Legal business name
- A&A APOTHECARY LLC
- Practice address
- 102 Main St
Gleason, TN 38229-7268 - Phone
- (731) 648-5146
- Fax
- (731) 648-5524
- NPI assigned
- Jun 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Amanda Calhoon
- Title
- Pharmacist
- Phone
- (501) 749-5120
Practitioners 4
-
Amanda S Calhoon, PHARMD
-
Krista R. Morse, DPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2155162 | A & a Apothecary | Certificate of waiver | Sep 24, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210304001374 | TN | Part B Supplier - Pharmacy | 3173939816 | Practice locations: Gleason, TN |
| O20211105000701 | TN | Part B Supplier - Independent Clinical Laboratory | 3173939816 | Practice locations: Gleason, TN |
National Provider Directory
Locations
102 Main St
Gleason, TN 38229
Phone (731) 648-5146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | C000392 | TN | Yes |
Addresses
Primary practice location
102 Main St
Gleason, TN 38229-7268
Mailing address
PO Box 108
Gleason, TN 38229-0108
Phone (731) 648-5146
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160534 | Other | PK |
Other names
- Gleason City Drug Store
Other providers in Gleason, TN
- Jeanne Caron Arnold
- Meike Alexandra Bridgeman
- Jenise Solomons Butler
- Michele Ellert
- Gleason City Drug Store, LLC
All providers in Gleason, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.