City Drug Company, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

443 Issued in TN

Legal business name

CITY DRUG COMPANY, INC

Doing business as

City Drug Co
City Drug Company, Inc

Practice address

630 RB Wilson Dr
Huntingdon, TN 38344-1726

Phone

(731) 986-2228

Fax

(731) 986-2171

NPI assigned

May 31, 2005

Last updated

Dec 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel L Jones, PHARM DNPI 1811994874

Title

Owner

Phone

(270) 444-7070

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• CITY DRUG CO Doing business as
• City Drug Company, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Daniel Lee Jones, PHARMD

  • Pharmacist
  • Mayfield, KY
  • NPI 1811994874
  NPD Authorized official
• Susan H Cary, PHARM D

  • Pharmacist
  • Huntingdon, TN
  • NPI 1902043961
  NPD (past)
• Malarie Brooke Leonard, PHARM.D.

  • Pharmacist
  • Huntingdon, TN
  • NPI 1720328024
  NPD (past)
• Timothy L Tucker, PHARM. D.

  • Pharmacist
  • Huntingdon, TN
  • NPI 1235124132
  NPD (past)
• Tony L Tucker, D. PH.

  • Pharmacist
  • Huntingdon, TN
  • NPI 1801881776
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1487657805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 RB WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441726",
            "telephone_number": "731-986-2228",
            "fax_number": "731-986-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 RB WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441726",
            "telephone_number": "731-986-2228",
            "fax_number": "731-986-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-444-7070",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3526215",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Drug Company, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danna Smith Castleman, PA-C
• Kaye Cathey, BSSW
• Charles a Thomason
• Zachary Scott Chrisman
• Nonyelu A Chukwuogo, M.D.
• Clinical Radiologists, PLLC
• Cindy A Cole
• Tori Crider, PHARMD
• Kaitlyn Joyce Douglas, LPC
• Kelly Douglas

• Community/Retail Pharmacy in Huntingdon, TN
• Providers in Huntingdon, 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 Dec 8, 2022; 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.