Active NPI
Justin Andrew Womack, PHARMD
- Pharmacist
- Clarksville, TN
National Provider Identifier
1881427110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48391
- Practice address
- 1771 Madison St
Clarksville, TN 37043-4990 - Phone
- (931) 551-7031
- NPI assigned
- Aug 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48391 | TN | Primary |
Addresses
Primary practice location
1771 Madison St
Clarksville, TN 37043-4990
Mailing address
2685 Elmo Rd
Pembroke, KY 42266-9741
Phone (270) 484-0285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48391 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1881427110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2685 ELMO RD",
"city": "PEMBROKE",
"state": "KY",
"postal_code": "422669741",
"telephone_number": "270-484-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 MADISON ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434990",
"telephone_number": "931-551-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "JUSTIN",
"middle_name": "ANDREW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "48391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.