Afton Pharmacy Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AFTON PHARMACY INCORPORATED

Practice address

341 Wallace Rd Ste a
Nashville, TN 37211-8001

Phone

(859) 312-6709

Fax

(833) 546-2033

NPI assigned

Jun 14, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Robertson

Title

Manager

Phone

(502) 724-2018

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1881437283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WALLACE RD STE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118001",
            "telephone_number": "859-312-6709",
            "fax_number": "833-546-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WALLACE RD STE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118001",
            "telephone_number": "859-312-6709",
            "fax_number": "833-546-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTON PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-724-2018"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.