NPIMap

Organization Active NPI

Ampharm, Inc.

  • Long Term Care Pharmacy
  • Jackson, TN
National Provider Identifier
1609125376
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0000004982 Issued in TN
Legal business name
AMPHARM, INC.
Practice address
45 Forest CV
Jackson, TN 38301
Phone
(731) 847-4013
Fax
(731) 847-4016
NPI assigned
Sep 10, 2012
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Robin F Bradley
Title
Authorized Official
Phone
(615) 595-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0000004982 TN Primary

Addresses

Primary practice location

45 Forest CV
Jackson, TN 38301

Mailing address

PO Box 307
Parsons, TN 38363-0307
Phone (731) 847-4013

Other identifiers 1

IdentifierTypeStateIssuer
4445284OtherNCPDP PROVIDER IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Ampharm LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1609125376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383630307",
            "telephone_number": "731-847-4013",
            "fax_number": "731-847-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-847-4013",
            "fax_number": "731-847-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPHARM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-595-8383"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "0000004982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4445284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.