The Hatchie Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000004085 Issued in TN

Legal business name

THE HATCHIE PHARMACY LLC

Doing business as

Hatchie Pharmacy

Practice address

640 Nuckolls Rd
Bolivar, TN 38008-1532

Phone

(731) 659-3740

Fax

(731) 659-3742

NPI assigned

May 2, 2006

Last updated

Jan 18, 2017By 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

Kimberly Bryant-Holman, PHARMDNPI 1356309298

Title

Owner

Phone

(731) 659-3740

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HATCHIE PHARMACY Doing business as

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.

• Kimberly Bryant-Holman, PHARM D

  • Pharmacist
  • Bolivar, TN
  • NPI 1356309298
  Authorized official Same address or phone

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1598723447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081532",
            "telephone_number": "731-659-3740",
            "fax_number": "731-659-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081532",
            "telephone_number": "731-659-3740",
            "fax_number": "731-659-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HATCHIE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT-HOLMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-659-3740",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000004085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094613",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4437794",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HATCHIE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Strickland, R.D.
• Candice D Taylor, RN
• Yulando A Taylor, RN
• Kristie M Teague, RN
• Judith Anne Tessema
• Brittany Tillis, LMSW
• Top Flight Medical Group
• Rachel Tosh, NP
• Total Renal Care Inc (Bolivar Dialysis)
• Alaina Townsend, LCSW

• Community/Retail Pharmacy in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.