NPIMap

Organization Active NPI

Gainesboro RX Corp

Doing business as Gainesboro Drugs

  • Community/Retail Pharmacy
  • Gainesboro, TN
National Provider Identifier
1861403933
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000002154 Issued in TN
Legal business name
GAINESBORO RX CORP
Doing business as
Gainesboro Drugs
Practice address
100 Hull Avenue
Gainesboro, TN 38562
Phone
(931) 268-9919
Fax
(931) 268-3840
NPI assigned
Aug 11, 2006
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Mr. Hemal Patel, RPH.NPI 1912302993
Title
Owner/Pharmacist
Phone
(931) 268-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Pharmacist 183500000X NU
Community/Retail Pharmacy 3336C0003X 0000002154 TN Primary

Addresses

Primary practice location

100 Hull Avenue
Gainesboro, TN 38562

Mailing address

75 E Veterans Dr. Apt G202
Cookeville, TN 38501
Phone (931) 268-9919

Other identifiers 2

IdentifierTypeStateIssuer
1454347MedicaidTN
2090873OtherPK

Other names 1

  • GAINESBORO DRUGS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1861403933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E VETERANS DR. APT G202",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-268-9919",
            "fax_number": "931-268-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HULL AVENUE",
            "city": "GAINESBORO",
            "state": "TN",
            "postal_code": "38562",
            "telephone_number": "931-268-9919",
            "fax_number": "931-268-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESBORO RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "931-268-9919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000002154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454347",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAINESBORO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAINESBORO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.