Organization Active NPI

Smyrna Pharmacy and Wellness Inc

Doing business as Smyrna Pharmacy and Wellness

  • Community/Retail Pharmacy
  • Smyrna, TN
National Provider Identifier
1457604357
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00005067 Issued in TN
Legal business name
SMYRNA PHARMACY AND WELLNESS INC
Doing business as
Smyrna Pharmacy and Wellness
Practice address
361 Enon Springs Rd E
Smyrna, TN 37167-3012
Phone
(615) 462-6031
Fax
(615) 984-7985
NPI assigned
Oct 17, 2012
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Christopher Fichtel
Title
Pharmacy Owner
Phone
(615) 462-6031

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 00005067 TN Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

361 Enon Springs Rd E
Smyrna, TN 37167-3012

Mailing address

361 Enon Springs Rd E
Smyrna, TN 37167-3012
Phone (615) 438-5454

Other identifiers 1

IdentifierTypeStateIssuer
2137353OtherPK

Other names 1

  • Smyrna Pharmacy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524001384 TN Part B Supplier - Mass Immunization (Roster Biller Only) 3678896297 Practice locations: Smyrna, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1457604357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673012",
            "telephone_number": "615-438-5454",
            "fax_number": "615-984-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673012",
            "telephone_number": "615-462-6031",
            "fax_number": "615-984-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA PHARMACY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "FICHTEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "615-462-6031"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00005067",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smyrna Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.