NPIMap

Organization Active NPI

Rutherford County Primary Care

Doing business as Primary Care & Hope Clinic Pharmacy Shelbyville

  • Community/Retail Pharmacy
  • Shelbyville, TN
National Provider Identifier
1619574332
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RUTHERFORD COUNTY PRIMARY CARE
Doing business as
Primary Care & Hope Clinic Pharmacy Shelbyville
Practice address
1701 N Main St
Shelbyville, TN 37160-2303
Phone
(615) 893-9390
NPI assigned
Oct 6, 2020
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RUTHERFORD COUNTY PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Shane Smith
Title
Cfo
Phone
(615) 893-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1701 N Main St
Shelbyville, TN 37160-2303

Mailing address

1453 Hope Way
Murfreesboro, TN 37129-3140

Other names 1

  • Primary Care & Hope Clinic Pharmacy Shelbyville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rutherford County Prima3 organizations share this tax ID, including this one
Part of
Rutherford County Prima

Other organizations with this tax ID 2

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1619574332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 HOPE WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602303",
            "telephone_number": "615-893-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD COUNTY PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTHERFORD COUNTY PRIMARY CARE",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-893-9390"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care & Hope Clinic Pharmacy Shelbyville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care & Hope Clinic Pharmacy Shelbyville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.