Organization Active NPI

Enigma Enterprises Inc

  • Community/Retail Pharmacy
  • Nashville, TN
National Provider Identifier
1760860076
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000005742 Issued in TN
Legal business name
ENIGMA ENTERPRISES INC
Practice address
226 11TH Ave S
Nashville, TN 37203-4021
Phone
(615) 645-9680
Fax
(615) 645-9782
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Traci Poole, PHARM.D.NPI 1841423233
Title
President/Ceo
Phone
(615) 645-9680

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 0214001984 VA
Community/Retail Pharmacy 3336C0003X 0000005742 TN Primary

Addresses

Primary practice location

226 11TH Ave S
Nashville, TN 37203-4021

Mailing address

226 11TH Ave S
Nashville, TN 37203-4021
Phone (615) 645-9680

Other identifiers 1

IdentifierTypeStateIssuer
2158124OtherPK

Other names 1

  • Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

226 11th Ave S
Nashville, TN 37203
Phone (615) 645-9680

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": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1760860076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 11TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034021",
            "telephone_number": "615-645-9680",
            "fax_number": "615-645-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 11TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034021",
            "telephone_number": "615-645-9680",
            "fax_number": "615-645-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENIGMA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "615-645-9680",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0214001984",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000005742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.