Organization Active NPI

Life Pharmacy, Inc

Doing business as Life Pharmacy

  • Community/Retail Pharmacy
  • Columbia, TN
National Provider Identifier
1720578073
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6294 Issued in TN
Legal business name
LIFE PHARMACY, INC
Doing business as
Life Pharmacy
Practice address
1116 Nashville Hwy
Ste 108
Columbia, TN 38401-2176
Phone
(931) 548-2172
Fax
(931) 233-4203
NPI assigned
May 12, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Michael Silverman
Title
President
Phone
(931) 548-3172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 6294 TN Primary

Addresses

Primary practice location

1116 Nashville Hwy
Ste 108
Columbia, TN 38401-2176

Mailing address

1116 Nashville Hwy
Ste 108
Columbia, TN 38401-2176
Phone (931) 548-2172

Other identifiers 2

IdentifierTypeStateIssuer
2177652OtherPK
N/AMedicaidTN

Other names 1

  • Life Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1116 Nashville Hwy
Ste 108
Columbia, TN 38401
Phone (931) 548-2172

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1720578073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 NASHVILLE HWY",
            "address_2": "STE 108",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012176",
            "telephone_number": "931-548-2172",
            "fax_number": "931-233-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 NASHVILLE HWY",
            "address_2": "STE 108",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012176",
            "telephone_number": "931-548-2172",
            "fax_number": "931-233-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-548-3172"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "6294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177652",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.