Active NPI
Med RX Pharmacy PC
Doing business as Preeminent Health & Wellness
- Family Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MED RX PHARMACY PC
- Doing business as
- Preeminent Health & Wellness
- Practice address
- 1356 Union University Dr
Ste G
Jackson, TN 38305 - Phone
- (731) 300-7311
- Fax
- (731) 300-7319
- NPI assigned
- May 11, 2016
- Last updated
- Aug 18, 2021
- 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
- Brad Medling
- Title
- Ceo
- Phone
- (731) 693-7351
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pharmacy | 333600000X | 5793 | TN | |
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1356 Union University Dr
Ste G
Jackson, TN 38305
Mailing address
1356 Union University Dr
Ste G
Jackson, TN 38305
Phone (731) 300-7311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160091 | Other | PK |
Other names 1
- Preeminent Health & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
108 S Front St
Greenfield, TN 38230
Phone (731) 678-0201
1356 Union University Dr
Ste G
Jackson, TN 38305
Phone (731) 300-7311
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jackson, TN
- NPI 1710311717
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1104490473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1760838528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 UNION UNIVERSITY DR",
"address_2": "STE G",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-300-7311",
"fax_number": "731-300-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 UNION UNIVERSITY DR",
"address_2": "STE G",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-300-7311",
"fax_number": "731-300-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED RX PHARMACY PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-11",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "MEDLING",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "731-693-7351"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TN",
"license": "5793",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2160091",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Preeminent Health & Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Preeminent Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.