Phipps Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

308 Issued in TN

Legal business name

PHIPPS PHARMACY INC

Doing business as

Phipps Pharmacy #4

Practice address

19 Hughes Dr
Jackson, TN 38305-1510

Phone

(731) 668-9072

Fax

(731) 664-9076

NPI assigned

Oct 3, 2006

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Robert Phipps Jr., PHARM D.NPI 1306049630

Title

Pharmacist/President/Ceo

Phone

(731) 352-0820

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Phipps Pharmacy #4 Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Phipps Pharmacy Inc

  dba Phipps Pharmacy #3

  • Community/Retail Pharmacy
  • Jackson, TN
  • NPI 1811184203

  O20101229000497

  Same enrollment

Locations

Practitioners 1

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.

• Jerry Robert Phipps Jr., PHARM.D.

  • Pharmacist
  • McKenzie, TN
  • NPI 1306049630
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1700971264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205B HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-0820",
            "fax_number": "731-352-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HUGHES DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051510",
            "telephone_number": "731-668-9072",
            "fax_number": "731-664-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT/CEO",
        "authorized_official_telephone_number": "731-352-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "308",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "308",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4417627",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518370",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phipps Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Phillips, OTA
• Kaitlyn B Phillips, DO
• Randall Wallace Phillips, PH.D.
• Stephanie Phillips
• Phipps Pharmacy Inc
• Phipps Pharmacy Inc (Phipps Pharmacy #3)
• Phoenix Neuropsychology and Counseling Center
• Physical Therapy of Jackson PC.
• Physicians Quality Care PLLC
• Dum Livinus Piawa, D.O

• Community/Retail Pharmacy in Jackson, TN
• Providers in Jackson, 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 May 31, 2024; 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.