Organization Active NPI

H&M Apothecary LLC

Doing business as East Main Pharmacy

  • Pharmacist
  • Adamsville, TN
National Provider Identifier
1699072058
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
H&M APOTHECARY LLC
Doing business as
East Main Pharmacy
Practice address
712 E Main St
Adamsville, TN 38310
Phone
(731) 632-3278
Fax
(731) 632-3279
NPI assigned
Feb 22, 2011
Last updated
Nov 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Mr. William Chase Garrison, PHARMDNPI 1558952457
Title
Owner/Pic
Phone
(731) 926-0279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Pharmacist 183500000X Primary
Community/Retail Pharmacy 3336C0003X 4843 TN

Addresses

Primary practice location

712 E Main St
Adamsville, TN 38310

Mailing address

PO Box 314
Adamsville, TN 38310
Phone (731) 632-3278

Other identifiers 1

IdentifierTypeStateIssuer
4444117OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • East Main Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210216003086 TN Part B Supplier - Pharmacy 3779998133 Practice locations: Adamsville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2023661East Main Pharmacy712 East Main St, Adamsville, TN 38310Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1699072058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "38310",
            "telephone_number": "731-632-3278",
            "fax_number": "731-632-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E MAIN ST",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "38310",
            "telephone_number": "731-632-3278",
            "fax_number": "731-632-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&M APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "731-926-0279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4843",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4444117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Main Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Main Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adamsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.