Tallent Drug Store

Primary specialty

PharmacistTaxonomy code 183500000X

License

653 Issued in TN

Legal business name

TALLENT DRUG STORE

Practice address

126 College St
Madisonville, TN 37354-1474

Phone

(423) 442-2400

Fax

(423) 442-4006

NPI assigned

Dec 16, 2006

Organization subpart

No

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

Authorized official

Name

E. R. Dykes, D.PH

Title

Partner Pharmacist

Phone

(423) 442-2400

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1770645475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541474",
            "telephone_number": "423-442-2400",
            "fax_number": "423-442-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COLLEGE ST",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541474",
            "telephone_number": "423-442-2400",
            "fax_number": "423-442-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLENT DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER   PHARMACIST",
        "authorized_official_telephone_number": "423-442-2400",
        "authorized_official_credential": "D.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "653",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452287",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.