Phipps Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3519 Issued in TN

Legal business name

PHIPPS PHARMACY INC

Doing business as

PHIPPS PHARMACY INC

Practice address

15385 Highland Dr
MC Kenzie, TN 38201-2501

Phone

(731) 352-0820

Fax

(731) 352-2848

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Jerry R Phipps Jr., PHARMD

Title

President and Ceo

Phone

(731) 352-0820

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PHIPPS PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Phipps Pharmacy Inc

  • Community/Retail Pharmacy
  • Waverly, TN
  • NPI 1083759963

  7719188978

  Same PAC ID
• Phipps Pharmacy Inc

  • Community/Retail Pharmacy
  • Huntingdon, TN
  • NPI 1467091488

  7719188978

  Same PAC ID
• Phipps Pharmacy Inc

  • Community/Retail Pharmacy
  • Jackson, TN
  • NPI 1811184203

  7719188978

  Same PAC ID

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

CLIA laboratory certificates

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1881750156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15385 HIGHLAND DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012501",
            "telephone_number": "731-352-0820",
            "fax_number": "731-352-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15385 HIGHLAND DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012501",
            "telephone_number": "731-352-0820",
            "fax_number": "731-352-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-352-0820",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": "3519",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454465",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4434281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHIPPS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHIPPS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matheresa Magalong Nucum, PT
• Joseph Charles Opie, M.D.
• Lexi Osborne, LCSW
• Derrick Palmer
• Duane Llewellyn Patrick IV, D.C.
• Jerry Robert Phipps Jr., PHARM.D.
• Tasleem Pierce
• Shelby Jo Priddy Chapman, PA-C
• Rilladean Skye Prince, PT, DPT
• Tera L Pruett, COTA/L

• Community/Retail Pharmacy in MC Kenzie, TN
• Providers in MC Kenzie, 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 10, 2025; 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.