St Bethlehem Drugs Inc New Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000002293 Issued in TN

Legal business name

ST BETHLEHEM DRUGS INC NEW CORP

Practice address

800 Weatherly Dr
Suite 101a
Clarksville, TN 37043-8957

Phone

(931) 647-6561

Fax

(931) 906-1254

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

James Manuel Holland

Title

Operations Manager

Phone

(931) 289-8991

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Bethlehem Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Harper, PHARMD

  • Pharmacist
  • Clarksville, TN
  • NPI 1477891018
  NPD
• Jana Rae Drumright, PHARMD

  • Pharmacist
  • Clarksville, TN
  • NPI 1013434430
  NPD (past)
• Randall Eugene Harper

  • Pharmacist
  • Clarksville, TN
  • NPI 1205979895
  NPD (past)
• Morgan Nicole Hemmingsen

  • Pharmacist
  • Clarksville, TN
  • NPI 1013569060
  NPD (past)
• Judy Caryl Ladd

  • Pharmacist
  • Clarksville, TN
  • NPI 1477696060
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1881799641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DR",
            "address_2": "SUITE 101A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438957",
            "telephone_number": "931-647-6561",
            "fax_number": "931-906-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DR",
            "address_2": "SUITE 101A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438957",
            "telephone_number": "931-647-6561",
            "fax_number": "931-906-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BETHLEHEM DRUGS INC NEW CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "931-289-8991"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000002293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562433",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Bethlehem Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Bethlehem Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Spurgeon, DMD
• Scarlett Spurgeon, OTR/L
• Brittany Spyers
• Denise L Squire, PH.D.
• St Bethlehem Drugs Inc New Corp
• Kyle Marshall St. Hilaire, DPT
• Emily Joyce St.Amant, M.A., LPC-MHSP
• Carissa Stacey
• Juliann Stafford
• Justin Stafford

• Community/Retail Pharmacy in Clarksville, TN
• Providers in Clarksville, 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 Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.