Airville Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Gallatin, TN
NPI 1538726211 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1538726211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AIRVILLE PHARMACY, LLC
- Practice address
- 1785 Airport Rd Ste a
Gallatin, TN 37066-3740 - Phone
- (615) 675-5507
- Fax
- (615) 206-8255
- NPI assigned
- May 29, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- AIRVILLE HEALTH & WELLNESS INC
Authorized official
- Name
- Dr. Ugochukwu Ben-Nwauzor, BPHARM, MSC., PHD
- Title
- Ceo/President
- Phone
- (615) 587-8203
Practitioners 2
-
Ugochukwu Ben-Nwauzor, B.PHARM, MSC. PHD
-
Tbony Marie Jewell, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Airville Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201111002161 | TN | Part B Supplier - Pharmacy | 4183034614 | Practice locations: Gallatin, TN |
| O20201221000071 | TN | DME Supplier - Pharmacy | 4183034614 | Practice locations: Gallatin, TN |
National Provider Directory
Locations
1785 Airport Rd
Gallatin, TN 37066
Phone (615) 675-5507
1785 Airport Rd
Ste A
Gallatin, TN 37066
Phone (615) 675-5507
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1785 Airport Rd Ste a
Gallatin, TN 37066-3740
Mailing address
1010 Merrick Rd
Hendersonville, TN 37075-1721
Phone (615) 587-8203
Other names
- Airville Pharmacy
Other providers in Gallatin, TN
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- Agilitas USA, Inc
- Agilitas USA, Inc.
- David Aguiare
- Tamjeed Ahmed
- Susan Swink Akers
- Al'S Tender Touch LLC
- Aeryn Claire Alexander
- Bertha Jane Alexander
- David Michael Alexander
All providers in Gallatin, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.