Metro Medical Skyline Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

4844 Issued in TN

Legal business name

METRO MEDICAL SKYLINE PHARMACY

Practice address

3443 Dickerson Pike
Suite 110
Nashville, TN 37207-2519

Phone

(615) 868-0792

Fax

(615) 860-4541

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Glyn Harrison Wallace, D.PH.

Title

Pharmacist

Phone

(615) 868-0792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1790761492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "SUITE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-868-0792",
            "fax_number": "615-860-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "SUITE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-868-0792",
            "fax_number": "615-860-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL SKYLINE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GLYN",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "615-868-0792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "4844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Center Health Care Group PC
• Metro Health Department
• Metro Health Dept
• Metro Medical Homecare, Inc.
• Metro Medical Pharmacy Inc.
• Metro Medical Skyline Pharmacy LP
• Metro Motion Transportation
• Metro Nashville Public Health Dept
• Metro Nashville Public Schools
• Metro One Ambulance Service, LLC

• All providers in Nashville, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.