Small Town Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SMALL TOWN PHARMACY, LLC

Doing business as

Small Town Pharmacy

Practice address

61 S Bells St
Alamo, TN 38001-1768

Phone

(731) 696-5400

Fax

(731) 696-5405

NPI assigned

Dec 20, 2018

Last updated

May 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Claire RichardsNPI 1902392756

Title

Pharmacist/Owner

Phone

(731) 696-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Small Town Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Rebecca Claire Richards

  • Pharmacist
  • Alamo, TN
  • NPI 1902392756
  NPD Authorized official
• Abbie Caroline Ward

  • Student in an Organized Health Care Education/Training Program
  • Alamo, TN
  • NPI 1942193966
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1770055329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011768",
            "telephone_number": "731-696-5400",
            "fax_number": "731-696-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011768",
            "telephone_number": "731-696-5400",
            "fax_number": "731-696-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "731-696-5400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q047713",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Wayne Rhear, MD
• Rebecca Claire Richards
• Mica Lynn Rudd, RN
• Karina Ruiz
• Sarah Jordan Collins Shell, O.D.
• Kylie Brown Smith, APN
• State of Tennessee
• Tera Stephens
• Linda F Taylor
• Melody L Tillman, NP

• Community/Retail Pharmacy in Alamo, TN
• Providers in Alamo, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.