Active NPI
Robert W Spain, DPH
- Pharmacist
- Lexington, TN
National Provider Identifier
1356650329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8814
- Practice address
- 654 West Church St
Lexington, TN 38351 - Phone
- (731) 967-0091
- Fax
- (731) 967-0150
- NPI assigned
- Sep 24, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 8814 | TN | Primary |
Addresses
Primary practice location
654 West Church St
Lexington, TN 38351
Mailing address
767 Luray Rd
Huron, TN 38345-9601
Phone (901) 484-2689
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8814 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1356650329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 LURAY RD",
"city": "HURON",
"state": "TN",
"postal_code": "383459601",
"telephone_number": "901-484-2689",
"fax_number": "731-967-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 WEST CHURCH ST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "38351",
"telephone_number": "731-967-0091",
"fax_number": "731-967-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.