Robert Higginbottom
Organization Active NPI Community/Retail Pharmacy · Savannah, TN
NPI 1508994260 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1508994260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1101 (TN)
- Legal business name
- ROBERT HIGGINBOTTOM
- Practice address
- 765 Florence Rd Ste B
Savannah, TN 38372-5219 - Phone
- (731) 925-3956
- Fax
- (731) 925-8754
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Bo Higginbottom, DPH
- Title
- Owner
- Phone
- (731) 925-3956
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Julie H Cronise, PHARM.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Robert Higginbottom |
Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930020009 | TN | DME Supplier - Pharmacy | 0244382935 |
1 other NPI on this enrollment Practice locations: Savannah, TN |
National Provider Directory
Locations
765 Florence Rd
Ste B
Savannah, TN 38372
Phone (731) 925-3956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1101 | TN | Yes |
Addresses
Primary practice location
765 Florence Rd Ste B
Savannah, TN 38372-5219
Mailing address
765 Florence Rd Ste B
Savannah, TN 38372-5219
Phone (731) 925-3956
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2096000 | Other | PK | |
| 3538186 | Medicaid | TN |
Other names
- THE PRESCRIPTION SHOP
Other providers in Savannah, TN
- Keith Risinger
- River City Convenient Care
- Riverside Medical Inc
- Leanna Roach
- Robert Darrin Hurst DPM West Tennessee Foot Clinic
- Melissa Robinson
- Rogers Eye Center PC
- Brandy Rogers
- Jerry D Rogers
- Richard N Rogers
All providers in Savannah, 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 Jun 20, 2023. 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.