Mitchum Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

358 Issued in TN

Legal business name

MITCHUM DRUG COMPANY INC

Doing business as

Mitchum Drug Company

Practice address

Spring & Front STS
Erin, TN 37061

Phone

(931) 289-4231

Fax

(931) 289-4230

NPI assigned

Feb 15, 2007

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlisle Webb Mitchum IIINPI 1689729105

Title

President-Pharmacist

Phone

(931) 289-4231

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mitchum Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlisle Webb Mitchum III

  • Pharmacist
  • Erin, TN
  • NPI 1689729105
  NPD Authorized official
• Patricia Ellen Stone

  • Pharmacist
  • Erin, TN
  • NPI 1336805209
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1386787315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "address_2": "18 SPRING ST",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "370610227",
            "telephone_number": "931-289-4231",
            "fax_number": "931-289-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPRING & FRONT STS",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "37061",
            "telephone_number": "931-289-4231",
            "fax_number": "931-289-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHUM DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MITCHUM",
        "authorized_official_first_name": "CARLISLE",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "PRESIDENT-PHARMACIST",
        "authorized_official_telephone_number": "931-289-4231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4402878",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3545373",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "3059807",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchum Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel E Martin, MD
• Abby Mathis
• Tamara Mays, OT
• Hannah Jade McDonough
• Janna V. Miller, FNP
• Carlisle Webb Mitchum III
• Anne O'Brien, FNP-C, RN
• McKenzie Jean Odom
• John S Paffrath, DDS
• Patients Choice Medical Center of Erin, Tennessee, LLC (Patients Choice Swing Bed Unit)

• Community/Retail Pharmacy in Erin, TN
• Providers in Erin, 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 Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.