Organization Active NPI

James and Wilks Pharmacy LLC

Doing business as James & Wilks Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
National Provider Identifier
1891123675
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5242 Issued in TN
Legal business name
JAMES AND WILKS PHARMACY LLC
Doing business as
James & Wilks Pharmacy
Practice address
620 Mall Blvd Ste a
Dyersburg, TN 38024-1649
Phone
(731) 286-2025
Fax
(731) 882-1976
NPI assigned
Oct 14, 2013
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Dr. Thomas Buss, PHARM.D.NPI 1780152785
Title
Pharmacist/Owner
Phone
(731) 286-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5242 TN Primary

Addresses

Primary practice location

620 Mall Blvd Ste a
Dyersburg, TN 38024-1649

Mailing address

620 Mall Blvd Ste a
Dyersburg, TN 38024-1649
Phone (731) 286-2025

Other identifiers 1

IdentifierTypeStateIssuer
5242OtherTNTENNESSEE BOARD OF PHARMACY LICENSE

Other names 1

  • James & Wilks Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160302001922 TN Part B Supplier - Mass Immunization (Roster Biller Only) 2264738186 Practice locations: Dyersburg, TN
O20160706002702 TN DME Supplier - Pharmacy 2264738186 Practice locations: Dyersburg, TN
O20200909000992 TN Part B Supplier - Independent Clinical Laboratory 2264738186 Practice locations: Dyersburg, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2184342James & Wilks Pharmacy620 Mall Blvd, Ste a, Dyersburg, TN 38024Certificate of waiverMay 18, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
James and Wilks Pharmacy LLC620 Mall Blvd, Dyersburg, TN 38024-1649(731) 286-2025 Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 26, 2016

National Provider Directory

National Provider Directory

Locations

620 Mall Blvd
Ste A
Dyersburg, TN 38024
Phone (731) 286-2025

Practitioners & affiliated clinicians

Practitioners 4

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1891123675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MALL BLVD STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241649",
            "telephone_number": "731-286-2025",
            "fax_number": "731-882-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MALL BLVD STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241649",
            "telephone_number": "731-286-2025",
            "fax_number": "731-882-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES AND WILKS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "731-286-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BOARD OF PHARMACY LICENSE",
            "identifier": "5242",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James & Wilks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James & Wilks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

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