Warren's Apothecary, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WARREN'S APOTHECARY, INC.

Practice address

1746 Memorial Dr
Clarksville, TN 37043-4561

Phone

(931) 647-3031

Fax

(931) 572-0899

NPI assigned

Feb 28, 2007

Last updated

Feb 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lena Anne Warren

Title

Manager

Phone

(931) 647-6031

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Warrens Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Warren's Apothecary, Inc.

  • Community/Retail Pharmacy
  • Clarksville, TN
  • NPI 1487796272
  NPD tax ID

Locations

Practitioners 1

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.

• Christy Wallace, PHARM.D.

  • Pharmacist
  • Clarksville, TN
  • NPI 1871211805
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1568599256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434561",
            "telephone_number": "931-647-3031",
            "fax_number": "931-572-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434561",
            "telephone_number": "931-647-3031",
            "fax_number": "931-572-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN'S APOTHECARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-647-6031"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500062",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markeisha Laquita Wardell
• Jazmine Warford
• Courtney Warhawk, RBT
• Hailey Breanne Warren
• Warren's Apothecary, Inc.
• Richard Donald Warrington, D.M.D.
• Darnicka Nicole Washington, REGISTERED NURSE
• Esther Washington
• Mina Washington, MSW
• Shante Washington, FNP

• Durable Medical Equipment & Medical Supplies in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.