Organization Active NPI

Village RX, LLC

  • Community/Retail Pharmacy
  • Old Hickory, TN
National Provider Identifier
1548806870
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VILLAGE RX, LLC
Doing business as
Village Rx
Practice address
1100 Donelson Ave
Old Hickory, TN 37138-3113
Phone
(615) 541-7374
Fax
(615) 357-0046
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Authorized official

Name
Thomas T Heilman, PHARM-DNPI 1396993010
Title
Pharmacist/Owner
Phone
(615) 574-3766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1100 Donelson Ave
Old Hickory, TN 37138-3113

Mailing address

1100 Donelson Ave
Old Hickory, TN 37138-3113

Other identifiers 1

IdentifierTypeStateIssuer
Q056227MedicaidTN

Other names 1

  • Village Rx Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831000654 TN Part B Supplier - Pharmacy 7012334451 Practice locations: Old Hickory, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2234101Village RX1100 Donelson Ave, Old Hickory, TN 37138Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

1100 Donelson Ave
Old Hickory, TN 37138
Phone (615) 541-7374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586044800000",
    "number": "1548806870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 DONELSON AVE",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371383113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DONELSON AVE",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371383113",
            "telephone_number": "615-541-7374",
            "fax_number": "615-357-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A",
        "authorized_official_last_name": "HEILMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "615-574-3766",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056227",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Hickory, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; 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.