Bells Depot, LLC
Organization Active NPI Community/Retail Pharmacy · Bells, TN
NPI 1508961368 · NPPES record last updated Dec 27, 2021
Key facts
- NPI
- 1508961368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0000001376 (TN)
- Legal business name
- BELLS DEPOT, LLC
- Practice address
- 13062 Highway 79
Bells, TN 38006-3916 - Phone
- (731) 663-3333
- Fax
- (731) 663-0265
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer K Hopper, PHARMD
- Title
- Owner
- Phone
- (731) 663-3331
Practitioners 2
-
Jennifer Kail Hopper, PHARMD
-
Derek Holyfield, PHARM. D
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bells Depot LLC |
Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200302002673 | TN | Part B Supplier - Pharmacy | 5890122980 | Practice locations: Bells, TN |
| O20200617000708 | TN | DME Supplier - Pharmacy | 5890122980 | Practice locations: Bells, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000001376 | TN | Yes |
Addresses
Primary practice location
13062 Highway 79
Bells, TN 38006-3916
Mailing address
PO Box 1059
Bells, TN 38006-1059
Phone (731) 663-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q035573 | Medicaid | TN | |
| 2088742 | Other | PK |
Other names
- RAINES PHARMACY
Other providers in Bells, TN
- All Smiles Anesthesia, PLLC
- Christoper Andrew Arnold
- Madelynn Jae Barnhill
- Shiloh De'Sire'E Beene
- Bells Assisted Care Living, LLC
- Bells Family Medicine
- Bells Nursing Home Inc
- Mary Ann Bond
- April Burleson
- Chablis Patrick Despain
All providers in Bells, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.