Active NPI
Apothecary Associates Inc
- Community/Retail Pharmacy
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2279
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katina Renea Sykes
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4420357 | Other | TN | NCPDP # |
| 3547261 | Medicaid | TN | |
| 9449732 | Medicaid | TN |
Other names 1
- The Medicine Shoppe #0563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Medicine Shoppe #0563 | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Clarksville, TN
- NPI 1093039547
-
- Registered Nurse
- Clarksville, TN
- NPI 1215169040
-
- Pharmacist
- Clarksville, TN
- NPI 1881826600
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.