Airville Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AIRVILLE PHARMACY, LLC

Doing business as

Airville Pharmacy

Practice address

1785 Airport Rd Ste a
Gallatin, TN 37066-3740

Phone

(615) 675-5507

Fax

(615) 206-8255

NPI assigned

May 29, 2019

Last updated

May 29, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

AIRVILLE HEALTH & WELLNESS INCAs reported in NPPES

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

Authorized official

Name

Dr. Ugochukwu Ben-Nwauzor, BPHARM, MSC., PHDNPI 1710485487

Title

Ceo/President

Phone

(615) 587-8203

Specialties & licenses 2

Addresses

Other names 1

• Airville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

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

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.

• Ugochukwu Ben-Nwauzor, B.PHARM, MSC. PHD

  • Pharmacist
  • Clarksville, TN
  • NPI 1710485487
  NPD Authorized official
• Tbony Marie Jewell, PHARMD

  • Pharmacist
  • Sylvania, OH
  • NPI 1366918120
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1538726211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MERRICK RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751721",
            "telephone_number": "615-587-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 AIRPORT RD STE A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663740",
            "telephone_number": "615-675-5507",
            "fax_number": "615-206-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRVILLE PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIRVILLE HEALTH & WELLNESS INC",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "BEN-NWAUZOR",
        "authorized_official_first_name": "UGOCHUKWU",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "615-587-8203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BPHARM, MSC., PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.