NPIMap

Organization Active NPI

Pharmaceutical Service Inc

  • Community/Retail Pharmacy
  • Martin, TN
National Provider Identifier
1386665347
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000000661 Issued in TN
Legal business name
PHARMACEUTICAL SERVICE INC
Practice address
116 Commons Dr
Martin, TN 38237-3879
Phone
(731) 587-9509
Fax
(731) 587-6528
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Becky Teal, DPH, BS PHARMCYNPI 1396701058
Title
Pic / VP Ops / Owner
Phone
(731) 587-9509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0000000661 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

116 Commons Dr
Martin, TN 38237-3879

Mailing address

116 Commons Dr
Martin, TN 38237-3879
Phone (731) 587-9509

Other identifiers 2

IdentifierTypeStateIssuer
2095781OtherPK
3557923MedicaidTN

Other names 1

  • VANS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

319 S Lindell St
Martin, TN 38237
Phone (731) 587-9509

116 Commons Dr
Martin, TN 38237
Phone (731) 587-9509

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1386665347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COMMONS DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373879",
            "telephone_number": "731-587-9509",
            "fax_number": "731-587-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COMMONS DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373879",
            "telephone_number": "731-587-9509",
            "fax_number": "731-587-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACEUTICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PIC / VP OPS / OWNER",
        "authorized_official_telephone_number": "731-587-9509",
        "authorized_official_credential": "DPH, BS PHARMCY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000661",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095781",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3557923",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.