Organization Active NPI

Promisecare Pharmacy II LLC

  • Community/Retail Pharmacy
  • Nashville, TN
National Provider Identifier
1386909547
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5075 Issued in TN
Legal business name
PROMISECARE PHARMACY II LLC
Practice address
501 Mainstream Dr
Nashville, TN 37228-1208
Phone
(615) 299-8920
Fax
(877) 323-9047
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Readus Smith
Title
Ceo/ Chairman/ Owner
Phone
(877) 323-9067

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 5075 TN Primary
Mail Order Pharmacy 3336M0002X
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

501 Mainstream Dr
Nashville, TN 37228-1208

Mailing address

501 Mainstream Dr
Nashville, TN 37228-1208
Phone (615) 299-8920

Other identifiers 1

IdentifierTypeStateIssuer
4445400OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Promise2Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

501 Mainstream Dr
Nashville, TN 37228
Phone (615) 299-8920

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1386909547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAINSTREAM DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281208",
            "telephone_number": "615-299-8920",
            "fax_number": "877-323-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAINSTREAM DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281208",
            "telephone_number": "615-299-8920",
            "fax_number": "877-323-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISECARE PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "READUS",
        "authorized_official_title_or_position": "CEO/ CHAIRMAN/ OWNER",
        "authorized_official_telephone_number": "877-323-9067"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5075",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4445400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise2Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.