Brad and Debbie Phelps Inc
Organization Active NPI Community/Retail Pharmacy · Greeneville, TN
NPI 1649385683 · NPPES record last updated Feb 11, 2008
Key facts
- NPI
- 1649385683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 3145 (TN)
- Legal business name
- BRAD AND DEBBIE PHELPS INC
- Practice address
- 910A Tusculum Blvd
Greeneville, TN 37745-4004 - Phone
- (423) 787-9544
- Fax
- (423) 787-1996
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Brad Phelps
- Title
- Owner
- Phone
- (423) 787-9544
National Provider Directory
Locations
910 Tusculum Blvd
Ste A
Greeneville, TN 37745
Phone (423) 787-9544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 3145 | TN | Yes |
Addresses
Primary practice location
910A Tusculum Blvd
Greeneville, TN 37745-4004
Mailing address
910A Tusculum Blvd
Greeneville, TN 37745-4004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4430548 | Medicaid | TN | |
| 4430548 | Other | OTHER ID NUMBER | |
| 4430548 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- MEDICINE SHOPPE
Other providers in Greeneville, TN
- Kyle W Boren
- Katie Lynne Styke Boslooper
- Tonya Leeann Bowman
- John Carlton Boys
- Lucy Boys
- Brad S. Johnson, DMD, PLLC
- Harry Bradburn
- Barbara Jean Bradford
- Roberts Joseph Bradford Sr.
- Alli Nickell Bradley
All providers in Greeneville, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.