Mitchell Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

C-0228 Issued in TN

Legal business name

MITCHELL DRUG COMPANY INC

Practice address

97 N Main St
Crossville, TN 38555-4500

Phone

(931) 484-5117

Fax

(931) 456-2710

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Albert Petty, DPHNPI 1477623817

Title

Pharmacist in Charge

Phone

(931) 484-5117

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James Albert Petty

  • Pharmacist
  • Crossville, TN
  • NPI 1477623817
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1437290921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 N MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554500",
            "telephone_number": "931-484-5117",
            "fax_number": "931-456-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 N MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554500",
            "telephone_number": "931-484-5117",
            "fax_number": "931-456-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "931-484-5117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "C-0228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy A Millen, RN
• David Anthony Miller, D.PH.
• Troy Lynn Miller, MD
• Milligan Surgical Clinic
• John Leslie Milligan, MD
• Betty R Moffitt, NA
• Momentum Behavior Analysis, LLC
• Mehran Monazam Tavallaee, M.D.
• Sandra J Monday, PAC
• Dewayne D Montgomery, DPH

• Community/Retail Pharmacy in Crossville, TN
• Providers in Crossville, 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 Oct 30, 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.