Active NPI
Medical Pharma Life Inc
- Clinic/Center
- Lebanon, TN
National Provider Identifier
1679485197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEDICAL PHARMA LIFE INC
- Practice address
- 100 Physicians Way Ste 270
Lebanon, TN 37090-8102 - Phone
- (855) 831-2002
- Fax
- (855) 831-2002
- NPI assigned
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Powell, MD
- Title
- Director
- Phone
- (855) 855-8312
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Case Management Agency | 251B00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
100 Physicians Way Ste 270
Lebanon, TN 37090-8102
Mailing address
100 Physicians Way Ste 270
Lebanon, TN 37090-8102
Phone (855) 831-2002
Other practice location 1
4051 Ogletown Stanton Rd Fl 3
Newark, DE 19713-3101
Phone (855) 831-2002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1679485197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PHYSICIANS WAY STE 270",
"city": "LEBANON",
"state": "TN",
"postal_code": "370908102",
"telephone_number": "855-831-2002",
"fax_number": "855-831-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PHYSICIANS WAY STE 270",
"city": "LEBANON",
"state": "TN",
"postal_code": "370908102",
"telephone_number": "855-831-2002",
"fax_number": "855-831-2002"
}
],
"practiceLocations": [
{
"address_1": "4051 Ogletown Stanton Rd Fl 3",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197133101",
"country_code": "US",
"telephone_number": "855-831-2002",
"fax_number": "855-831-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICAL PHARMA LIFE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-20",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "855-855-8312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.