Organization Active NPI

Medex Biocare Pharmacy, LLC.

  • Pharmacy
  • Bartlett, TN
National Provider Identifier
1629071956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
3956 Issued in TN
Legal business name
MEDEX BIOCARE PHARMACY, LLC.
Practice address
8024 Stage Hills Blvd
Ste 107
Bartlett, TN 38133-4048
Phone
(800) 962-6339
Fax
(866) 755-6339
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Scott Arata
Title
President
Phone
(800) 962-6339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3956 TN Primary

Addresses

Primary practice location

8024 Stage Hills Blvd
Ste 107
Bartlett, TN 38133-4048

Mailing address

8024 Stage Hills Blvd
Ste 107
Bartlett, TN 38133-4048
Phone (800) 962-6339

Other identifiers 2

IdentifierTypeStateIssuer
4437047OtherNCPDP NUMBER
3956OtherTNSTATE PHARMACY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629071956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 STAGE HILLS BLVD",
            "address_2": "STE 107",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334048",
            "telephone_number": "800-962-6339",
            "fax_number": "866-755-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 STAGE HILLS BLVD",
            "address_2": "STE 107",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334048",
            "telephone_number": "800-962-6339",
            "fax_number": "866-755-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX BIOCARE PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARATA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-962-6339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "3956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4437047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "3956",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.