Joelton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JOELTON PHARMACY LLC

Doing business as

Joelton Pharmacy

Practice address

3515 Old Clarksville Pike Ste a
Joelton, TN 37080-8892

Phone

(615) 502-1615

Fax

(615) 285-8111

NPI assigned

Nov 23, 2021

Last updated

Jul 24, 2023By 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

Ujwalkumar PanhalkarNPI 1306130042

Title

Ceo

Phone

(615) 403-9687

Specialties & licenses 2

Addresses

Other names 1

• Joelton Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Ujwalkumar B Panhalkar, B.PHARM , M.PHARM

  • Pharmacist
  • Joelton, TN
  • NPI 1306130042
  NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1497412597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 OLD CLARKSVILLE PIKE STE A",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808892",
            "telephone_number": "615-502-1615",
            "fax_number": "615-285-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 OLD CLARKSVILLE PIKE STE A",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808892",
            "telephone_number": "615-502-1615",
            "fax_number": "615-285-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "PANHALKAR",
        "authorized_official_first_name": "UJWALKUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-403-9687"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joelton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joelton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronnie R Felts, DPH
• Blakely Nichelle Forrest, LMFT
• Kelly Juanita Fussman, MS, CCC-SLP
• Katie Hickerson, PHARMD
• Kejuanis Hughes
• Gordon F McCammon, D.D.S
• Mountain Crest Chiropractic
• Ujwalkumar B Panhalkar, B.PHARM , M.PHARM
• Premium Trucking & Logistics, LLC
• Rebecca Womack

• Community/Retail Pharmacy in Joelton, TN
• Providers in Joelton, 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 Jul 24, 2023; 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.