Duren Clinical Services, LLC
Organization Active NPI Community/Retail Pharmacy · Waynesboro, TN
NPI 1821054289 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1821054289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1195 (TN)
- Legal business name
- DUREN CLINICAL SERVICES, LLC
- Practice address
- 215 Dexter L Woods Memorial Blvd
Waynesboro, TN 38485-2416 - Phone
- (931) 722-5466
- Fax
- (931) 722-9495
- NPI assigned
- Apr 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry M. Duren, PHARM.D
- Title
- Owner
- Phone
- (931) 722-5466
Corporate family (same tax ID) 1
Practitioners 12
-
Macon Devaughn Carroll, PHARM.D.
-
Jeffrey McClain Duren, PHARM.D.
-
Jerry M. Duren, PHARM.D.
-
Kristeen Michelle Duren, RD, LDN
-
Lindsey Lauren Benson, PHARM.D.
-
Rachel Larae Boone, PHARM.D.
-
Angeline Agnes Casteel, C.PH.T
-
Brent Rainwater, PHARMD
-
Thomas Danville Wallace, CPHT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120308000544 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 1052585932 | Practice locations: Waynesboro, TN |
National Provider Directory
- Tax ID family
- Duren Clinical Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1195 | TN | Yes |
Addresses
Primary practice location
215 Dexter L Woods Memorial Blvd
Waynesboro, TN 38485-2416
Mailing address
215 Dexter L Woods Memorial Blvd
P. O. Box 736
Waynesboro, TN 38485-2416
Phone (931) 722-5466
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452222 | Medicaid | TN | |
| 4078454 | Other | TN | TENNCARE SELECT |
Other names
- DUREN PHARMACY
Other providers in Waynesboro, TN
- Jacqueline Deiley
- Wes Yeiser Donaldson
- Laura Downard
- Dr Jay M Chapman Vision Center
- Duren Clinical Services
- Jeffrey McClain Duren
- Jerry M. Duren
- Kristeen Michelle Duren
- Laura Dygert
- Faith & Family Care Clinic PLLC
All providers in Waynesboro, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.