NPIMap

Organization Active NPI

Mike Swaim Van Swaim Casey Vernon

Doing business as eastwood pharmacy

  • Pharmacy
  • Paris, TN
National Provider Identifier
1568437945
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
311 Issued in TN
Legal business name
MIKE SWAIM VAN SWAIM CASEY VERNON
Doing business as
eastwood pharmacy
Practice address
1325 E Wood St
Paris, TN 38242-4421
Phone
(731) 642-0451
Fax
(731) 642-4034
NPI assigned
Feb 21, 2006
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Mr. Mac Casey Vernon, DPHNPI 1811261795
Title
Pic/Owner
Phone
(731) 642-0451

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
Pharmacy 333600000X 311 TN Primary

Addresses

Primary practice location

1325 E Wood St
Paris, TN 38242-4421

Mailing address

1325 E Wood St
Paris, TN 38242-4421
Phone (731) 642-0451

Other identifiers 1

IdentifierTypeStateIssuer
1452214MedicaidTN

Other names 1

  • eastwood pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1325 E Wood St
Paris, TN 38242
Phone (731) 642-0451

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1568437945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424421",
            "telephone_number": "731-642-0451",
            "fax_number": "731-642-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424421",
            "telephone_number": "731-642-0451",
            "fax_number": "731-642-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE SWAIM VAN SWAIM CASEY VERNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "MAC",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "731-642-0451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452214",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eastwood pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.