White House Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5825 Issued in TN

Legal business name

WHITE HOUSE PHARMACY

Doing business as

White House Pharmacy

Practice address

491 Sage Rd N Ste 1200
White House, TN 37188-9363

Phone

(615) 334-1212

Fax

(615) 334-1543

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Jared Lonon, PHARMD

Title

Owner, Pic, Ao

Phone

(615) 334-1212

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• White House Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1437509742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 SAGE RD N STE 1200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889363",
            "telephone_number": "615-334-1212",
            "fax_number": "615-334-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 SAGE RD N STE 1200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889363",
            "telephone_number": "615-334-1212",
            "fax_number": "615-334-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HOUSE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "LONON",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "615-334-1212",
        "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": "5825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White House Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White House Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deniele Wilson
• Rose Wint, FNP-C
• Darcy T Wiss

• Community/Retail Pharmacy in White House, TN
• Providers in White House, 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 Nov 15, 2021; 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.