Medicine Chest Apothecary

Primary specialty

PharmacistTaxonomy code 183500000X

License

00000399 Issued in TN

Legal business name

MEDICINE CHEST APOTHECARY

Practice address

330 N Oak Ave
Cookeville, TN 38501-2440

Phone

(931) 528-8479

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tony Dale Sells, DPHNPI 1528110897

Title

Pharmacist

Phone

(931) 528-8479

Specialties & licenses 1

Addresses

Other identifiers 2

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

• Tony Dale Sells, DPH

  • Pharmacist
  • Cookeville, TN
  • NPI 1528110897
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629196472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-528-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-528-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CHEST APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "931-528-8479",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "00000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3544998",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4418100",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannie Mears, BEHAVIOR TECHNICIAN
• Medical Imaging Specialists, LLC
• Medical Observation Services LLC
• Medical Specialists of Cookeville, PLLC
• Medical Supply Services, LLC
• Laura Fitzgerald Melton
• Lora Lynn Melton, M.D.
• Natashia Melton
• Anju Mendiratta, MD
• Mercy Clinic, Inc

• All providers in Cookeville, TN
• Pharmacist in Tennessee

• 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.