Organization Active NPI

Health Care Inc

  • Community/Retail Pharmacy
  • Clinton, TN
National Provider Identifier
1396872057
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2272 Issued in TN
Legal business name
HEALTH CARE INC
Practice address
1130 N Charles Seivers Blvd
Clinton, TN 37716
Phone
(865) 457-1421
Fax
(865) 457-9164
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jimmy McBride, PHARMDNPI 1710268065
Title
Pharmacist and Owner
Phone
(865) 457-1421

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

Practitioners 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0984047Clinton Drug Store1130 N Charles Seivers Blvd, Clinton, TN 37716Certificate of waiverMar 11, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000685 TN Part B Supplier - Mass Immunization (Roster Biller Only) 4587559356 Practice locations: Clinton, TN

National Provider Directory

National Provider Directory

Locations

1130 N Charles G Seivers Blvd
#B
Clinton, TN 37716
Phone (865) 457-1421

1130 N Seivers Blvd
Clinton, TN 37716
Phone (865) 457-0622

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2272 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

NPPES NPI Registry

Primary practice location

1130 N Charles Seivers Blvd
Clinton, TN 37716

Mailing address

1130 N Charles Seivers Blvd
Clinton, TN 37716
Phone (865) 457-1421

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3562039MedicaidTN
2091272OtherPK

Other names 1

NPPES NPI Registry
  • CLINTON DRUG STORE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2026.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1396872057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N CHARLES SEIVERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "37716",
            "telephone_number": "865-457-1421",
            "fax_number": "865-457-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N CHARLES SEIVERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "37716",
            "telephone_number": "865-457-1421",
            "fax_number": "865-457-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "865-457-1421",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "2272",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562039",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINTON DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.