Hartsville Pharmacy LLC.
Organization Active NPI Community/Retail Pharmacy · Hartsville, TN
NPI 1457543084 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1457543084
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 4430 (TN)
- Legal business name
- HARTSVILLE PHARMACY LLC.
- Practice address
- 207 McMurry Blvd E
Hartsville, TN 37074-1109 - Phone
- (615) 374-4353
- Fax
- (615) 374-4355
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Amy Fowler Broyles, PHARM.D
- Title
- Owner/Pharmacist
- Phone
- (615) 374-4353
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 4
-
Amy Fowler Broyles, PHARMD.
-
Thomas Patrick Broyles, PHARMD.
-
Lauren Paige Eddie, PHARMD
-
Emma Kemp Hendry, PHARM.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930055360 | TN | DME Supplier - Pharmacy | 4688879513 | Practice locations: Hartsville, TN |
| O20130520000476 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688879513 | Practice locations: Hartsville, TN |
National Provider Directory
- Tax ID family
- Hartsville Pharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 4430 | TN | Yes |
Addresses
Primary practice location
207 McMurry Blvd E
Hartsville, TN 37074-1109
Mailing address
207 McMurry Blvd E
Hartsville, TN 37074-1109
Phone (615) 374-4353
Other providers in Hartsville, TN
- John M Green
- Guardian Transport LLC
- Camra Hamilton
- Ariele Harris
- Hartsville Dental Care
- Hartsville Pharmacy LLC.
- Hartsville Rehab and Healthcare LLC
- Hartsville/Trousdale County Metro Government
- Emma Kemp Hendry
- James D Carey
All providers in Hartsville, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.