NPIMap

Organization Active NPI

Hartsville Pharmacy LLC.

  • Long Term Care Pharmacy
  • Hartsville, TN
National Provider Identifier
1912764903
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HARTSVILLE PHARMACY LLC.
Practice address
207 McMurry Blvd E
Hartsville, TN 37074-1109
Phone
(615) 374-4353
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HARTSVILLE PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Amy Fowler Broyles, PHARMD.NPI 1548500507
Title
Owner/Pharmacist
Phone
(615) 374-4353

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

207 McMurry Blvd E
Hartsville, TN 37074-1109

Mailing address

207 McMurry Blvd E
Hartsville, TN 37074-1109
Phone (615) 374-4353

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

207 McMurry Blvd E
Hartsville, TN 37074
Phone (615) 374-4353

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.

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1912764903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MCMURRY BLVD E",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741109",
            "telephone_number": "615-374-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MCMURRY BLVD E",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741109",
            "telephone_number": "615-374-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE PHARMACY LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARTSVILLE PHARMACY LLC",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "615-374-4353",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.