Larry H Pafford

Primary specialty

PharmacyTaxonomy code 333600000X

License

104 Issued in TN

Legal business name

LARRY H PAFFORD

Practice address

5 S Court St
Alamo, TN 38001-1708

Phone

(731) 696-5577

Fax

(731) 696-4311

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Larry H Pafford

Title

Owner / Pharmacist

Phone

(731) 696-5577

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• IRVINE DRUG COMPANY Other name

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1831286038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S COURT ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011708",
            "telephone_number": "731-696-5577",
            "fax_number": "731-696-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S COURT ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380011708",
            "telephone_number": "731-696-5577",
            "fax_number": "731-696-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY H PAFFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PAFFORD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "731-696-5577"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "104",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454946",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9440548",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4402258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRVINE DRUG COMPANY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carmen Hernandez
• Ryan Horner, RN
• Harold Bennett Hunt, DDS
• Lori Faye Laman, APN
• Amanda Lane, RN
• James Louis Lavenue, DPH
• Cortni McCall
• Emily McCurry
• Marquesa Aniya McKinnie
• Jeffrey Neal Nolen

• All providers in Alamo, TN
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.