Organization Active NPI

Bells Depot, LLC

Doing business as Raines Pharmacy

  • Community/Retail Pharmacy
  • Bells, TN
National Provider Identifier
1508961368
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000001376 Issued in TN
Legal business name
BELLS DEPOT, LLC
Doing business as
Raines Pharmacy
Practice address
13062 Highway 79
Bells, TN 38006-3916
Phone
(731) 663-3333
Fax
(731) 663-0265
NPI assigned
Sep 14, 2006
Last updated
Dec 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Jennifer K Hopper, PHARMDNPI 1992735484
Title
Owner
Phone
(731) 663-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000001376 TN Primary

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 2

IdentifierTypeStateIssuer
2088742OtherPK
Q035573MedicaidTN

Other names 1

  • RAINES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200302002673 TN Part B Supplier - Pharmacy 5890122980 Practice locations: Bells, TN
O20200617000708 TN DME Supplier - Pharmacy 5890122980 Practice locations: Bells, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bells Depot LLC13062 Highway 79, Bells, TN 38006-3916(731) 663-3333 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 assignmentParticipating since Jul 1, 2018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1508961368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380061059",
            "telephone_number": "731-663-3333",
            "fax_number": "731-663-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13062 HIGHWAY 79",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380063916",
            "telephone_number": "731-663-3333",
            "fax_number": "731-663-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLS DEPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-663-3331",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088742",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035573",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAINES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bells, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.