Organization Active NPI

Michael West

Doing business as Super Discount Drugs

  • Community/Retail Pharmacy
  • Monterey, TN
National Provider Identifier
1487798195
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3172 Issued in TN
Legal business name
MICHAEL WEST
Doing business as
Super Discount Drugs
Practice address
201 N Elmore St Ste F
Monterey, TN 38574-1260
Phone
(931) 839-7005
Fax
(931) 839-7507
NPI assigned
Feb 16, 2007
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Michael WestNPI 1497860324
Title
Owner and Pharmacist
Phone
(931) 839-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 3172 TN Primary

Addresses

Primary practice location

201 N Elmore St Ste F
Monterey, TN 38574-1260

Mailing address

201 N Elmore St Ste F
Monterey, TN 38574-1260
Phone (931) 839-7005

Other identifiers 2

IdentifierTypeStateIssuer
4430790MedicaidTN
4430790OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SUPER DISCOUNT DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

201 N Elmore St
Ste F
Monterey, TN 38574
Phone (931) 839-6777

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1487798195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ELMORE ST STE F",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741260",
            "telephone_number": "931-839-7005",
            "fax_number": "931-839-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ELMORE ST STE F",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741260",
            "telephone_number": "931-839-7005",
            "fax_number": "931-839-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "931-839-7005"
    },
    "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": "3172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4430790",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4430790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.