Organization Active NPI

S D M Inc

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Lexington, TN
National Provider Identifier
1518147941
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000004445 Issued in TN
Legal business name
S D M INC
Doing business as
Family Pharmacy
Practice address
6 Hospital Dr
Lexington, TN 38351-1422
Phone
(731) 968-6979
Fax
(731) 968-5152
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Authorized official

Name
Sherry Middleton
Title
Ceo
Phone
(731) 968-5151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 0000004445 TN Primary

Addresses

Primary practice location

6 Hospital Dr
Lexington, TN 38351-1422

Mailing address

6 Hospital Dr
Lexington, TN 38351-1422
Phone (731) 968-6979

Other identifiers 2

IdentifierTypeStateIssuer
1505860MedicaidTN
2095318OtherPK

Other names 1

  • FAMILY 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
O20081216000203 TN Part B Supplier - Mass Immunization (Roster Biller Only) 7810059417 Practice locations: Lexington, TN
O20100930069151 TN DME Supplier - Pharmacy 7810059417 Practice locations: Lexington, 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
Family Pharmacy6 Hospital Dr, Lexington, TN 38351-1422(731) 968-6979 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Diabetic Shoes and Inserts Does not accept assignmentParticipating since Nov 20, 2007

National Provider Directory

National Provider Directory

Locations

6 Hospital Dr
Lexington, TN 38351
Phone (731) 968-6654

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596326400000",
    "number": "1518147941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL DR",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511422",
            "telephone_number": "731-968-6979",
            "fax_number": "731-968-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL DR",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511422",
            "telephone_number": "731-968-6979",
            "fax_number": "731-968-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S D M INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-968-5151"
    },
    "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": "TN",
            "license": "0000004445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505860",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.