PHL Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3417 Issued in TN

Legal business name

PHL INC

Practice address

335 S Cedar Ave
South Pittsburg, TN 37380-1305

Phone

(423) 837-6855

Fax

(423) 837-1420

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Emily Pittman Layne, DPHNPI 1396817508

Title

Owner/Pharmacist

Phone

(423) 837-6855

Specialties & licenses 1

Addresses

Other names 2

• The Drug Store at South PIttsburg Doing business as
• The DrugStore Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Pittman Layne, BS

  • Pharmacist
  • South Pittsburg, TN
  • NPI 1396817508
  NPD Authorized official
• Jeremy G York, PHARMD

  • Pharmacist
  • South Pittsburg, TN
  • NPI 1285706465
  NPD (past)

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

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1821160078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S CEDAR AVE",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801305",
            "telephone_number": "423-837-6855",
            "fax_number": "423-837-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S CEDAR AVE",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801305",
            "telephone_number": "423-837-6855",
            "fax_number": "423-837-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "PITTMAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "423-837-6855",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store at South PIttsburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The DrugStore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in South Pittsburg, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.