Clarksville Pharmacy I LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

TN1567 Issued in KY

Legal business name

CLARKSVILLE PHARMACY I LLC

Doing business as

Andy's Pharmacy

Practice address

801 N 2ND St
Clarksville, TN 37040-2909

Phone

(931) 802-5386

Fax

(931) 802-5389

NPI assigned

May 16, 2011

Last updated

Sep 3, 2021By 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

Andrew Hirt

Title

Administrator

Phone

(615) 330-8485

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Andy's Pharmacy Doing business as

Tax ID family

Andy's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clarksville Pharmacy I LLC

  dba Andy's Pharmacy

  • Community/Retail Pharmacy
  • Clarksville, TN
  • NPI 1023243672
  NPD tax ID

Locations

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.

• Amy Hester Muiznieks, RPH

  • Pharmacist
  • Clarksville, TN
  • NPI 1417189747
  NPD (past)
• David George Muiznieks, RPH

  • Pharmacist
  • Clarksville, TN
  • NPI 1144452475
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1518250141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 BALDWIN ARBOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152412",
            "telephone_number": "615-330-8485",
            "fax_number": "931-802-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 2ND ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370402909",
            "telephone_number": "931-802-5386",
            "fax_number": "931-802-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE PHARMACY I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "HIRT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-330-8485"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "4647",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "TN1567",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100199100",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515313",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andy's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andy's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clarksville Pharmacy I LLC (Andy's Pharmacy)
• Clarksville Physical Medicine PLLC
• Clarksville Physician Services LLC (Vanderbilt Physician Services Clarksville)
• Clarksville Practice Management, Inc. (Achieve Medical Weight Loss)
• Clarksville Psychological Services
• Clarksville Pulmonary & Critical Care, PC

• Long Term Care Pharmacy in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.