Minnis Drug Store Inc

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

License

0000001975 Issued in TN

Legal business name

MINNIS DRUG STORE INC

Practice address

1250 Tennova Medical Way
Knoxville, TN 37909-3120

Phone

(865) 895-6072

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Kenneth Cantwell, DPH PHARMACY

Title

Owner Chief Pharmicist

Phone

(423) 586-4562

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Minnis Drugs Other name

Locations

Practitioners 2

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

• Quynh Nguyen, PHARMD

  • Pharmacist
  • Morristown, TN
  • NPI 1194359208
  NPD (past)
• Anna Beth Portrum, PHARM D

  • Pharmacist
  • Morristown, TN
  • NPI 1245383082
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1831272129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378150369",
            "telephone_number": "423-586-4562",
            "fax_number": "423-587-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 TENNOVA MEDICAL WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093120",
            "telephone_number": "865-895-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 S Cumberland St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378135236",
            "country_code": "US",
            "telephone_number": "423-586-4562",
            "fax_number": "423-587-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Glenn Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683531",
            "country_code": "US",
            "telephone_number": "256-845-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINNIS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "CANTWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER    CHIEF PHARMICIST",
        "authorized_official_telephone_number": "423-586-4562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH  PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "TN",
            "license": "0000001975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4409670",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnis Drugs",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Minnis Drugs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joyce A Mink, LCSW
• Misty Nichole Minks, MSW
• Jewell Minnich
• Morgan Henry Minnich, FNP
• Mary Jane Minnick, ACNP
• Lauren Yvonne Minor, PA-C
• William Minteer, M.D.
• Sandra Renee Minter, RBT CERTIFICATION
• Minton Family Therapy, PLLC
• Cody Alexander Minton, RBT

• Pharmacy in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.