Guardian Pharmacy of TN One

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF TN ONE

Doing business as

Guardian Pharmacy of Tennessee One, LLC

Practice address

352 W Northfield Blvd Ste 4F
Murfreesboro, TN 37129-1539

Phone

(877) 895-1194

Fax

(877) 217-6419

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

David Brown

Title

President/Owner

Phone

(877) 895-1194

Specialties & licenses 2

Addresses

Other names 1

• Guardian Pharmacy of Tennessee One, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Guardian Pharmacy of TN One

  dba Middle Tennessee Pharmacy Services

  • Long Term Care Pharmacy
  • Shelbyville, TN
  • NPI 1215262670

  2769673722

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Guardian Pharmacy of TN One

  dba Middle Tennessee Pharmacy Services

  • Long Term Care Pharmacy
  • Shelbyville, TN
  • NPI 1215262670

  O20121106000323

  Same enrollment

Tax ID family

Guardian Pharmacy of Tennessee One LLC2 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.

• Guardian Pharmacy of TN One

  dba Middle Tennessee Pharmacy Services

  • Long Term Care Pharmacy
  • Shelbyville, TN
  • NPI 1215262670
  NPD tax ID

Locations

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1528893252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 W NORTHFIELD BLVD STE 4F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291539",
            "telephone_number": "877-895-1194",
            "fax_number": "877-217-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 W NORTHFIELD BLVD STE 4F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291539",
            "telephone_number": "877-895-1194",
            "fax_number": "877-217-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF TN ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "877-895-1194"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://guardianpharmacy.com/",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "352 W Northfield Blvd Ste 4F",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371291539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Tennessee One, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Pharmacy of Tennessee One, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jazmin Alexis Grine
• Derek J Groff, PHARMD
• Group Effort Behavioral Health Services LLC
• Elisabeth Groves
• Jill Marie Gruenke, PTA
• Angela Leah Gucwa, M.D.
• Victoria Brooke Guentzel, MS, RDN, LDN
• Amie Wiser Guffey, FNP-C
• Maria Isabel Guillen
• Michele Lee Guinn, RPH

• Long Term Care Pharmacy in Murfreesboro, TN
• Providers in Murfreesboro, 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 Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.