Lebanon Family Pharmacy, PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEBANON FAMILY PHARMACY, PLLC

Practice address

1311 W Main St Ste a
Lebanon, TN 37087-3274

Phone

(615) 547-9556

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Hetal PatelNPI 1790371326

Title

Owner

Phone

(865) 805-9785

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hetal Patel, RPH

  • Pharmacist
  • Lebanon, TN
  • NPI 1790371326
  NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1376129643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W MAIN ST STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W MAIN ST STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873274",
            "telephone_number": "615-547-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON FAMILY PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HETAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-805-9785"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lebanonfamilypharmacy.com",
            "affiliation": "N",
            "address_1": "1311 W Main St Ste A",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370873274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lebanon Eye Associates
• Lebanon Eye Associates
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• Lebanon Eye Associates PC
• Lebanon Family Dentistry LLC
• Lebanon General Practice Inc
• Lebanon Health Care Center
• Lebanon Hma Physician Management LLC
• Lebanon Hma Surgery Center Inc
• Lebanon Hma, LLC

• Community/Retail Pharmacy in Lebanon, TN
• Providers in Lebanon, 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 Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.