Organization Active NPI

P and P Prescription Shop Inc

  • Specialty Pharmacy
  • Hendersonville, TN
National Provider Identifier
1881765402
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
1337 Issued in TN
Legal business name
P AND P PRESCRIPTION SHOP INC
Doing business as
P and P Prescription Shop Inc
Practice address
107 Imperial Blvd
Ste 9
Hendersonville, TN 37075-3479
Phone
(615) 824-1216
Fax
(615) 264-3784
NPI assigned
Nov 13, 2006
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Rodney McCormickNPI 1730584640
Title
President
Phone
(615) 824-1216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X 1337 TN Primary

Addresses

Primary practice location

107 Imperial Blvd
Ste 9
Hendersonville, TN 37075-3479

Mailing address

107 Imperial Blvd
Ste 9
Hendersonville, TN 37075-3479
Phone (615) 824-1216

Other identifiers 1

IdentifierTypeStateIssuer
4401131OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • P AND P PRESCRIPTION SHOP INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
P and P Prescription Shop Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1881765402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "STE 9",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-1216",
            "fax_number": "615-264-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD",
            "address_2": "STE 9",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753479",
            "telephone_number": "615-824-1216",
            "fax_number": "615-264-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P AND P PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-824-1216"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4401131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P AND P PRESCRIPTION SHOP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.