Active NPI
Lifepoint Pharmacy
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
National Provider Identifier
1720491749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- C005712
- Legal business name
- LIFEPOINT PHARMACY
- Practice address
- 3163 South Church Street
Murfreesboro, TN 37127 - Phone
- (615) 225-8870
- NPI assigned
- Jun 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles W Davis, PHARMACIST
- Title
- Pharmacits. Staff
- Phone
- (615) 225-8870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | C005712 | TN | Primary |
Addresses
Primary practice location
3163 South Church Street
Murfreesboro, TN 37127
Mailing address
3163 S Church St
Murfreesboro, TN 37127-7174
Phone (615) 225-8870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396013454 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
3163 S Church St
Murfreesboro, TN 37127
Phone (615) 225-8870
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Murfreesboro, TN
- NPI 1700298866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402012800000",
"number": "1720491749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3163 S CHURCH ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371277174",
"telephone_number": "615-225-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3163 SOUTH CHURCH STREET",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37127",
"telephone_number": "615-225-8870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEPOINT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-06",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHARMACITS. STAFF",
"authorized_official_telephone_number": "615-225-8870",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "C005712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396013454",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.