P Stark Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4471 Issued in TN

Legal business name

P STARK ENTERPRISES INC

Practice address

1838 Elm Hill Pike
Ste 125B
Nashville, TN 37210-3726

Phone

(800) 940-4901

Fax

(888) 208-1097

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Preston Stark

Title

Owner

Phone

(615) 585-4159

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PHARMACY 2 YOUR DOOR Doing business as

Tax ID family

P Stark Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• P. Stark Enterprises, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbia, TN
  • NPI 1154371995
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• P. Stark Enterprises, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbia, TN
  • NPI 1154371995
  NPPES parent name

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1356528848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 ELM HILL PIKE",
            "address_2": "STE 125B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372103726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 ELM HILL PIKE",
            "address_2": "STE 125B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372103726",
            "telephone_number": "800-940-4901",
            "fax_number": "888-208-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P STARK ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-585-4159"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4440979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY 2 YOUR DOOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oghenevwairhe Fervent Oyewole, MD
• Jacob Oyler, COTA
• Eesha Nishith Oza, MD
• Joseph Ozenne, M.D.
• Courtney Ozment, PHARM D
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• P3: Precision Physical Therapy & Pilates, LLC
• P3: Precision Physical Therapy Precision

• Community/Retail Pharmacy in Nashville, TN
• Providers in Nashville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.