Organization Active NPI

Dunlop Pharmacy LLC

  • Community/Retail Pharmacy
  • Clarksville, TN
National Provider Identifier
1881140127
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000005835 Issued in TN
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

Updated by the provider on Aug 31, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2163877OtherPK

Other names 1

  • Dunlop Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210122001789 TN Part B Supplier - Mass Immunization (Roster Biller Only) 3779997333 Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.