Ronnie F Vise

Key facts

NPI

1891744702

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

1418 (TN)

Legal business name

RONNIE F VISE

Practice address

179 Tennessee Ave N
Parsons, TN 38363-2002

Phone

(731) 847-3784

Fax

(731) 847-6167

NPI assigned

May 8, 2006

Organization subpart

No

Authorized official

Name

Ronnie Vise NPI 1235188640

Title

Owner

Phone

(731) 847-3784

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

Other NPIs with the same Medicare PAC ID 1

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

• FPBS LLC Community/Retail Pharmacy · Linden, TN · NPI 1174190649
  Same PAC ID 4385789965

Practitioners 1

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

• Ronnie Vise, D.PH. Pharmacist · Parsons, TN · NPI 1235188640
  NPD Authorized official

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in TN

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• VISES DISCOUNT PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2021.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1891744702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 TENNESSEE AVE N",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632002",
            "telephone_number": "731-847-3784",
            "fax_number": "731-847-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 TENNESSEE AVE N",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632002",
            "telephone_number": "731-847-3784",
            "fax_number": "731-847-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE F VISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "VISE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-847-3784"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1418",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3556612",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISES DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VISES DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsons, TN

• Tracy Pevahouse, FNP
• John B Phillips, M.D.
• Kimothy Phillips, PHARM D
• Kristy Lynn Powers, PTA
• Tara Pratt, PHARM.D.
• Monica L Russell, LPTA
• Nathan Glen Schwab, PHARMD
• Specialty Care
• Sherri Lynn Stubblefield, COTA
• Vickie C Summers, D.PH.

All providers in Parsons, TN · Community/Retail Pharmacy in Tennessee