Active NPI
Hoskins Drug Store No 2 Inc
- Community/Retail Pharmacy
- Clinton, TN
National Provider Identifier
1760418958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000000194
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501167 | Other | TN | DEPT OF LABOR |
| 0662682 | Other | TN | UMWA |
| 536988000 | Other | TN | DEPT OD LABOR |
| 4403604 | Other | TN | NABP |
| 3032668 | Other | TN | BCBSTN |
| 3520220 | Medicaid | TN | |
| D04403604 | Other | TN | JOHNDEER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091030000382 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325185903 | Practice locations: Clinton, TN |
| O20100930001034 | TN | DME Supplier - Pharmacy | 8325185903 | Practice locations: Clinton, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hoskins Drug Store No 2 Inc | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Clinton, TN
- NPI 1124360151
-
- Pharmacist
- Clinton, TN
- NPI 1588281893
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.