Active NPI
Charles Manley, PHARMACIST
- Pharmacist
- Bolivar, TN
National Provider Identifier
1689172009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3272
- Practice address
- 1604 W Market St
Bolivar, TN 38008-1536 - Phone
- (731) 658-7181
- Fax
- (731) 658-7324
- NPI assigned
- Jan 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3272 | TN | Primary |
Addresses
Primary practice location
1604 W Market St
Bolivar, TN 38008-1536
Mailing address
1604 W Market St
Bolivar, TN 38008-1536
Phone (731) 658-7181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bolivar, TN
- NPI 1881611069
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1689172009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 W MARKET ST",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081536",
"telephone_number": "731-658-7181",
"fax_number": "731-658-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 W MARKET ST",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081536",
"telephone_number": "731-658-7181",
"fax_number": "731-658-7324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "3272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.