Jimmy Max Pettigrew and James B Pettigrew

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

101 Issued in TN

Legal business name

JIMMY MAX PETTIGREW AND JAMES B PETTIGREW

Doing business as

Pettigrew Drugs

Practice address

139 W Main St
Adamsville, TN 38310-2203

Phone

(731) 632-3118

Fax

(731) 632-0567

NPI assigned

Jan 26, 2007

Last updated

Sep 18, 2017By 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

Jimmy Pettigrew

Title

Owner Pharmacist

Phone

(731) 632-3118

Specialties & licenses 1

Addresses

Other names 1

• PETTIGREW DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1881740272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383100409",
            "telephone_number": "731-632-3118",
            "fax_number": "731-632-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W MAIN ST",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383102203",
            "telephone_number": "731-632-3118",
            "fax_number": "731-632-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY MAX PETTIGREW AND JAMES B PETTIGREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "731-632-3118"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETTIGREW DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Adamsville, TN
• Providers in Adamsville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.