Organization Active NPI

Tri-Med Pharmacy Services, LLC #2

  • Long Term Care Pharmacy
  • Hendersonville, TN
National Provider Identifier
1548453053
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0000004372 Issued in TN
Legal business name
TRI-MED PHARMACY SERVICES, LLC #2
Practice address
260 W Main St
Suite 217
Hendersonville, TN 37075-3347
Phone
(615) 826-9393
Fax
(615) 826-0531
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Edward Wayne Smith, DPH.
Title
Ceo
Phone
(615) 826-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0000004372 TN Primary

Addresses

Primary practice location

260 W Main St
Suite 217
Hendersonville, TN 37075-3347

Mailing address

4005 S Mendenhall Rd
Suite 1
Memphis, TN 38115-5919
Phone (901) 366-1988

Other identifiers 1

IdentifierTypeStateIssuer
4440272OtherNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Tri-Med Pharmacy Services LLC 33 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4005 S Mendenhall Rd
Ste 1
Memphis, TN 38115

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1548453053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 S MENDENHALL RD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155919",
            "telephone_number": "901-366-1988",
            "fax_number": "901-366-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST",
            "address_2": "SUITE 217",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753347",
            "telephone_number": "615-826-9393",
            "fax_number": "615-826-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-MED PHARMACY SERVICES, LLC #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-826-9393",
        "authorized_official_credential": "DPH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "0000004372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4440272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.