Organization Active NPI

Lifepoint Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
National Provider Identifier
1720491749
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
C005712 Issued in TN
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

Updated by the provider on Jun 6, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1396013454MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.