Organization Active NPI

Lincoln Pharmacy Inc

  • Community/Retail Pharmacy
  • Fayetteville, TN
National Provider Identifier
1720840002
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LINCOLN PHARMACY INC
Practice address
2928 Huntsville Hwy
Fayetteville, TN 37334-6687
Phone
(931) 297-1040
Fax
(888) 905-5232
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Angela C Strickland, PHARMDNPI 1891136966
Title
Owner
Phone
(931) 297-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

2928 Huntsville Hwy
Fayetteville, TN 37334-6687

Mailing address

2928 Huntsville Hwy
Fayetteville, TN 37334-6687
Phone (931) 297-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409003907 TN Part B Supplier - Pharmacy 4789022708 Practice locations: Fayetteville, TN

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2928 Huntsville Hwy
Fayetteville, TN 37334
Phone (931) 297-1040

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1720840002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 HUNTSVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346687",
            "telephone_number": "931-297-1040",
            "fax_number": "888-905-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 HUNTSVILLE HWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346687",
            "telephone_number": "931-297-1040",
            "fax_number": "888-905-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-297-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.