NPIMap

Organization Active NPI

Life Watch Pharmacy LLC

  • Community/Retail Pharmacy
  • Nashville, TN
National Provider Identifier
1386948834
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4712 Issued in TN
Legal business name
LIFE WATCH PHARMACY LLC
Practice address
1838 Elm Hill Pike Ste 126
Nashville, TN 37210-3702
Phone
(615) 884-0302
Fax
(888) 208-1097
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Andrew Miller
Title
Member
Phone
(800) 940-4901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4712 TN Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1838 Elm Hill Pike Ste 126
Nashville, TN 37210-3702

Mailing address

1 Burton Hills Blvd
Suite 215
Nashville, TN 37215-6293
Phone (615) 884-0302

Other identifiers 1

IdentifierTypeStateIssuer
2136090OtherPK

Other names 1

  • LifeWatch Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Watch Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1838 Elm Hill Pike
Ste 126
Nashville, TN 37210
Phone (615) 884-0302

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1386948834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD",
            "address_2": "SUITE 215",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156293",
            "telephone_number": "615-884-0302",
            "fax_number": "888-208-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 ELM HILL PIKE STE 126",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372103702",
            "telephone_number": "615-884-0302",
            "fax_number": "888-208-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WATCH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-940-4901"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4712",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeWatch 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 Jan 13, 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.