Newbern Discount Drug LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEWBERN DISCOUNT DRUG LLC

Practice address

625 W Main St Ste a
Newbern, TN 38059-1573

Phone

(731) 627-9573

Fax

(731) 627-3051

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia B Keller, DPH

Title

Owner

Phone

(731) 627-9573

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1851408710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST STE A",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591573",
            "telephone_number": "731-627-9573",
            "fax_number": "731-627-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST STE A",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591573",
            "telephone_number": "731-627-9573",
            "fax_number": "731-627-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERN DISCOUNT DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-627-9573",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4418390",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454269",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly D McCann, FNP
• Sara Ellen Moody, LCSW
• Clint Edward Myers, PHARM D
• Christy R Newbaker
• David Allen Newbaker, DPH
• Newbern Medical Clinic, PC
• Presley Diabetes and Endocrine Center, PLLC
• Kagan Marie Qualls, COTA/L
• Logan J Rummells
• Wanda Faye Smith, RN

• All providers in Newbern, TN
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.