NPIMap

Organization Active NPI

Americare Pharmacy Services LLC

Doing business as Pegasus Express Pharmacy

  • Long Term Care Pharmacy
  • Cookeville, TN
National Provider Identifier
1881828200
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
4642 Issued in TN
Legal business name
AMERICARE PHARMACY SERVICES LLC
Doing business as
Pegasus Express Pharmacy
Practice address
621 E 15TH St
Suite D
Cookeville, TN 38501-1875
Phone
(931) 528-0070
Fax
(866) 471-1114
NPI assigned
May 13, 2009
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICARE PHARMACY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Mr. James R Dunham
Title
Pharmacist, General Manager
Phone
(931) 528-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 4642 TN Primary

Addresses

Primary practice location

621 E 15TH St
Suite D
Cookeville, TN 38501-1875

Mailing address

621 E 15TH St
Suite D
Cookeville, TN 38501-1875
Phone (931) 528-0080

Other names 1

  • PEGASUS EXPRESS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Americare Pharmacy Services LLC2 organizations share this tax ID, including this one
Part of
Americare Pharmacy Services LLC

Other organizations with this tax ID 1

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

Locations

621 E 15th St
Ste D
Cookeville, TN 38501
Phone (931) 528-0070

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1881828200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E 15TH ST",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011875",
            "telephone_number": "931-528-0080",
            "fax_number": "866-471-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E 15TH ST",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011875",
            "telephone_number": "931-528-0070",
            "fax_number": "866-471-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE PHARMACY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICARE PHARMACY SERVICES",
        "enumeration_date": "2009-05-13",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST, GENERAL MANAGER",
        "authorized_official_telephone_number": "931-528-0070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEGASUS EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.