Southland LTC Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SOUTHLAND LTC PHARMACY

Doing business as

Southland LTC Pharmacy

Practice address

482 Interstate Dr Ste L
Manchester, TN 37355-3485

Phone

(615) 788-5998

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Arthur S Snow, Jr

Title

President

Phone

(615) 788-5998

Specialties & licenses 1

Addresses

Other names 1

• Southland LTC Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1700423654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 COLCHESTER CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283795",
            "telephone_number": "615-788-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR STE L",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553485",
            "telephone_number": "615-788-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND LTC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "SNOW, JR",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-788-5998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Smith, RD, LDN
• Crystal Faye Soni
• Sharon Soria, DMD
• Southern Family Markets LLC (Southern Family Market)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southland Pharmacy LLC
• Southland Pharmacy LLC
• Nicole Sparkman, PMHNP
• Benjamin Charles Spaulding Jr., DDS
• Susan R St. John, CRNA

• Long Term Care Pharmacy in Manchester, TN
• Providers in Manchester, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.