Active NPI
Professional Arts Pharmacy, LLC
- Long Term Care Pharmacy
- Lexington, TN
National Provider Identifier
1538799655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PROFESSIONAL ARTS PHARMACY, LLC
- Practice address
- 148 W Church St
Suite B
Lexington, TN 38351 - Phone
- (731) 968-5474
- Fax
- (731) 798-5079
- NPI assigned
- Jan 16, 2020
- 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
- Samuel D Pace
- Title
- Owner
- Phone
- (731) 614-4259
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
148 W Church St
Suite B
Lexington, TN 38351
Mailing address
270 W Church St Ste C
Lexington, TN 38351-2077
Phone (731) 968-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4452342 | Other | NCPDP |
National Provider Directory
National Provider Directory- Tax ID family
- Professional Arts Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Lexington, TN
- NPI 1154402667
-
- Pharmacy
- Lexington, TN
- NPI 1407576606
Locations
270 W Church St
Ste C
Lexington, TN 38351
Phone (731) 968-5474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1538799655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 W CHURCH ST STE C",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383512077",
"telephone_number": "731-968-5474",
"fax_number": "731-968-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W CHURCH ST",
"address_2": "SUITE B",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "38351",
"telephone_number": "731-968-5474",
"fax_number": "731-798-5079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ARTS PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-16",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-614-4259"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4452342",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.