Organization Active NPI

Warren'S Apothecary, Inc.

  • Community/Retail Pharmacy
  • Clarksville, TN
National Provider Identifier
1487796272
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WARREN'S APOTHECARY, INC.
Practice address
1746 Memorial Dr
Clarksville, TN 37043-4561
Phone
(931) 647-6031
Fax
(931) 572-0899
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Lena Warren
Title
Manager
Phone
(931) 647-6031

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 179 TN
Community/Retail Pharmacy 3336C0003X 179 TN
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1746 Memorial Dr
Clarksville, TN 37043-4561

Mailing address

1746 Memorial Dr
Clarksville, TN 37043-4561
Phone (931) 647-6031

Other identifiers 1

IdentifierTypeStateIssuer
3500062MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Warrens Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1487796272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434561",
            "telephone_number": "931-647-6031",
            "fax_number": "931-572-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434561",
            "telephone_number": "931-647-6031",
            "fax_number": "931-572-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN'S APOTHECARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-647-6031"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "179",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "179",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500062",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.