Central Drug Store PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CENTRAL DRUG STORE PLLC

Practice address

239 W Summer St
Greeneville, TN 37743-4925

Phone

(423) 638-4711

Fax

(423) 638-3311

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Cynthia B Fisher, DPH

Title

Owner

Phone

(423) 638-4711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cynthia Bullington Fisher dba Central Drug Store Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Cynthia Kay Bullington Fisher, DPH.

  • Pharmacist
  • Greeneville, TN
  • NPI 1659395804
  NPD

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1689279945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W SUMMER ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434925",
            "telephone_number": "423-638-4711",
            "fax_number": "423-638-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W SUMMER ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434925",
            "telephone_number": "423-638-4711",
            "fax_number": "423-638-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG STORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-638-4711",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454403",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia Bullington Fisher dba Central Drug Store",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jason B. Carter, M.D.
• Robin Leigh Carter, DPT, ATP
• Judith Ann Castainca, LCSW
• Christopher Steve Castle, ANP-C
• Central Drug Store
• Christopher Allen Chamberlain, NP-C
• Chandler Scott Edwards
• Ann Celine Chang, M.D.
• Patricia Chesnut, LCSW
• Eric R Chlebisch, PA

• 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 Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.