St Bethlehem Drugs Inc New Corp

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ST BETHLEHEM DRUGS INC NEW CORP

Practice address

800 Weatherly Dr Ste 101a
Clarksville, TN 37043-8958

Phone

(931) 647-6561

Fax

(931) 902-8027

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

James Manuel Holland

Title

Operations Manager

Phone

(931) 289-8991

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Sara Harper, PHARMD

  • Pharmacist
  • Clarksville, TN
  • NPI 1477891018
  NPD
• Randall Eugene Harper

  • Pharmacist
  • Clarksville, TN
  • NPI 1205979895
  NPD (past)
• Judy Caryl Ladd

  • Pharmacist
  • Clarksville, TN
  • NPI 1477696060
  NPD (past)

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1609620558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DR STE 101A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438958",
            "telephone_number": "931-647-6561",
            "fax_number": "931-902-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DR STE 101A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438958",
            "telephone_number": "931-647-6561",
            "fax_number": "931-902-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BETHLEHEM DRUGS INC NEW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "931-289-8991"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Meadows SNF Operations LLC
• Jonathan Spurgeon, DMD
• Scarlett Spurgeon, OTR/L
• Brittany Spyers
• Denise L Squire, PH.D.
• St Bethlehem Drugs Inc New Corp
• Kyle Marshall St. Hilaire, DPT
• Emily Joyce St.Amant, M.A., LPC-MHSP
• Carissa Stacey
• Juliann Stafford

• Long Term Care Pharmacy in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.