Organization Active NPI

Hoskins Drug Store No 2 Inc

  • Community/Retail Pharmacy
  • Clinton, TN
National Provider Identifier
1760418958
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000000194 Issued in TN
Legal business name
HOSKINS DRUG STORE NO 2 INC
Practice address
111 N Main St
Clinton, TN 37716-3607
Phone
(865) 475-4340
Fax
(865) 463-0678
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Dudley Bostic
Title
Co-Owner
Phone
(865) 457-4340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 0000000194 TN Primary

Addresses

Primary practice location

111 N Main St
Clinton, TN 37716-3607

Mailing address

111 N Main St
Clinton, TN 37716-3607
Phone (865) 475-4340

Other identifiers 7

IdentifierTypeStateIssuer
501167OtherTNDEPT OF LABOR
0662682OtherTNUMWA
536988000OtherTNDEPT OD LABOR
4403604OtherTNNABP
3032668OtherTNBCBSTN
3520220MedicaidTN
D04403604OtherTNJOHNDEER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091030000382 TN Part B Supplier - Mass Immunization (Roster Biller Only) 8325185903 Practice locations: Clinton, TN
O20100930001034 TN DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 8325185903 Practice locations: Clinton, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hoskins Drug Store No 2 Inc111 N Main St, Clinton, TN 37716-3607(865) 457-4340 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipm… Does not accept assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory

Locations

111 N Main St
Clinton, TN 37716
Phone (865) 457-4340

111 N Main St
#2
Clinton, TN 37716
Phone (865) 457-4340

Practitioners & affiliated clinicians

Practitioners 2

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760418958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163607",
            "telephone_number": "865-475-4340",
            "fax_number": "865-463-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163607",
            "telephone_number": "865-475-4340",
            "fax_number": "865-463-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSKINS DRUG STORE NO 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "865-457-4340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "501167",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0662682",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OD LABOR",
            "identifier": "536988000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4403604",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "3032668",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3520220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNDEER",
            "identifier": "D04403604",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.