Organization Active NPI

Phippscare, Inc

  • Pharmacy
  • Huntingdon, TN
National Provider Identifier
1780457598
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PHIPPSCARE, INC
Practice address
20190 Main St E
Huntingdon, TN 38344-4119
Phone
(731) 535-3522
Fax
(731) 535-3509
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Jill Mayo, RN
Title
Director of Operations
Phone
(731) 415-1643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

20190 Main St E
Huntingdon, TN 38344-4119

Mailing address

205 Hospital Dr Ste B
MC Kenzie, TN 38201-1649
Phone (731) 352-0820

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2297991Phippscare20190 Main Street East, Huntingdon, TN 38344Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Locations

205 Hospital Dr
Ste B
Mc Kenzie, TN 38201
Phone (731) 352-5004

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1780457598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOSPITAL DR STE B",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-0820",
            "fax_number": "731-352-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20190 MAIN ST E",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383444119",
            "telephone_number": "731-535-3522",
            "fax_number": "731-535-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPSCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "731-415-1643",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.