Active NPI
Dunlop Pharmacy LLC
- Community/Retail Pharmacy
- Clarksville, TN
National Provider Identifier
1881140127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000005835
- Legal business name
- DUNLOP PHARMACY LLC
- Practice address
- 620 Dunlop LN Ste # 111
Clarksville, TN 37040-5000 - Phone
- (931) 278-6422
- Fax
- (931) 278-6423
- NPI assigned
- Aug 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suresh Burle
- Title
- RPH/Member
- Phone
- (305) 299-4562
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000005835 | TN | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
620 Dunlop LN Ste # 111
Clarksville, TN 37040-5000
Mailing address
620 Dunlop Lane
Suite# 111
Clarksville, TN 37040-5007
Phone (931) 278-6422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163877 | Other | PK |
Other names 1
- Dunlop Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210122001789 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779997333 | Practice locations: Clarksville, TN |
National Provider Directory
National Provider DirectoryLocations
620 Dunlop Ln
Ste 111
Clarksville, TN 37040
Phone (931) 278-6422
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Nashville, TN
- NPI 1760658678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1881140127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 DUNLOP LANE",
"address_2": "SUITE# 111",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405007",
"telephone_number": "931-278-6422",
"fax_number": "931-278-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 DUNLOP LN STE # 111",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405000",
"telephone_number": "931-278-6422",
"fax_number": "931-278-6423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNLOP PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "BURLE",
"authorized_official_first_name": "SURESH",
"authorized_official_title_or_position": "RPH/MEMBER",
"authorized_official_telephone_number": "305-299-4562"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "0000005835",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2163877",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dunlop Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.