Brad and Debbie Phelps Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3145 Issued in TN

Legal business name

BRAD AND DEBBIE PHELPS INC

Doing business as

Medicine Shoppe

Practice address

910A Tusculum Blvd
Greeneville, TN 37745-4004

Phone

(423) 787-9544

Fax

(423) 787-1996

NPI assigned

Aug 20, 2006

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Phelps

Title

Owner

Phone

(423) 787-9544

Specialties & licenses 1

Addresses

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1649385683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910A TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910A TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454004",
            "telephone_number": "423-787-9544",
            "fax_number": "423-787-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD AND DEBBIE PHELPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-787-9544"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Lynne Styke Boslooper, PA
• Katelyn Bowman, LCSW
• Tonya Leeann Bowman, LPN
• John Carlton Boys, M.D.
• Lucy Boys
• Brad S. Johnson, DMD, PLLC
• Harry Bradburn, D.PH.
• Barbara Jean Bradford, APN
• Roberts Joseph Bradford Sr., DDS
• Alli Nickell Bradley, DO

• Community/Retail Pharmacy in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.