NPIMap

Organization Active NPI

Rutherford Drug LLC

  • Pharmacy
  • Murfreesboro, TN
National Provider Identifier
1407201304
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4441 Issued in TN
Legal business name
RUTHERFORD DRUG LLC
Practice address
2994 S Church St
Murfreesboro, TN 37127-8351
Phone
(615) 895-1641
Fax
(615) 895-1601
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Chad MillsNPI 1922137132
Title
Pharmacist
Phone
(615) 895-1641

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4441 TN Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2994 S Church St
Murfreesboro, TN 37127-8351

Mailing address

2994 S Church St
Murfreesboro, TN 37127-8351
Phone (615) 895-1641

Other identifiers 1

IdentifierTypeStateIssuer
2159743OtherPK

Other names 1

  • Mills Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200918002460 TN Part B Supplier - Pharmacy 6103244322 Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory
Tax ID family
Mills Family Pharmacy2 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1407201304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2994 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371278351",
            "telephone_number": "615-895-1641",
            "fax_number": "615-895-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2994 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371278351",
            "telephone_number": "615-895-1641",
            "fax_number": "615-895-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "615-895-1641"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "4441",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mills Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.