Organization Active NPI

Clinchfield Drug Co. Inc

  • Community/Retail Pharmacy
  • Erwin, TN
National Provider Identifier
1609901628
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
359 Issued in TN
Legal business name
CLINCHFIELD DRUG CO. INC
Practice address
101 S Main Ave
Erwin, TN 37650-1237
Phone
(423) 743-4881
Fax
(423) 743-0947
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Joseph C Snyder, DPHNPI 1457435232
Title
Pic
Phone
(423) 743-4881

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
Community/Retail Pharmacy 3336C0003X 359 TN Primary

Addresses

Primary practice location

101 S Main Ave
Erwin, TN 37650-1237

Mailing address

101 S Main Ave
Erwin, TN 37650-1237
Phone (423) 743-4881

Other identifiers 2

IdentifierTypeStateIssuer
359OtherTNTENNESSEE STATE PHARMACY
4406256OtherTNNCPDP- NABP NUMBER

National Provider Directory

National Provider Directory

Locations

101 S Main Ave
Erwin, TN 37650
Phone (423) 743-4881

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609901628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501237",
            "telephone_number": "423-743-4881",
            "fax_number": "423-743-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501237",
            "telephone_number": "423-743-4881",
            "fax_number": "423-743-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCHFIELD DRUG CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "423-743-4881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE STATE PHARMACY",
            "identifier": "359",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP- NABP NUMBER",
            "identifier": "4406256",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.