Organization Active NPI

Apothecary Associates Inc

  • Community/Retail Pharmacy
  • Clarksville, TN
National Provider Identifier
1528033842
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2279 Issued in TN
Legal business name
APOTHECARY ASSOCIATES INC
Practice address
1500 Madison St.
Clarksville, TN 37040
Phone
(931) 552-2552
Fax
(931) 551-8198
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Katina Renea SykesNPI 1093039547
Title
Pic/Owner
Phone
(931) 552-2552

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Durable Medical Equipment & Medical Supplies 332B00000X 2279 TN
Community/Retail Pharmacy 3336C0003X 2279 TN Primary
Long Term Care Pharmacy 3336L0003X 2279 TN

Addresses

Primary practice location

1500 Madison St.
Clarksville, TN 37040

Mailing address

1500 Madison St.
Clarksville, TN 37040
Phone (931) 552-2552

Other identifiers 3

IdentifierTypeStateIssuer
4420357OtherTNNCPDP #
3547261MedicaidTN
9449732MedicaidTN

Other names 1

  • The Medicine Shoppe #0563 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040027 TN DME Supplier - Pharmacy 2668591850 Practice locations: Clarksville, TN
O20110218000536 TN Part B Supplier - Mass Immunization (Roster Biller Only) 2668591850 Practice locations: Clarksville, 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
The Medicine Shoppe #05631500 Madison St, Clarksville, TN 37040-3846(931) 552-2552 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Sep 18, 2010

National Provider Directory

National Provider Directory

Locations

1500 Madison St
Clarksville, TN 37040
Phone (931) 552-2552

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1528033842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MADISON ST.",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-552-2552",
            "fax_number": "931-551-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MADISON ST.",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-552-2552",
            "fax_number": "931-551-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "931-552-2552"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "2279",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "2279",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "2279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4420357",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3547261",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449732",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe #0563",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe #0563",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.