Organization Active NPI

Davidsons Discount Drugs Inc

  • Community/Retail Pharmacy
  • Byrdstown, TN
National Provider Identifier
1912928979
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000001971 Issued in TN
Legal business name
DAVIDSONS DISCOUNT DRUGS INC
Doing business as
Davidsons Discount Drugs Inc
Practice address
110 Hillcrest Dr
Byrdstown, TN 38549-2323
Phone
(931) 864-3166
Fax
(931) 864-8166
NPI assigned
Jul 22, 2006
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Kendle Davdson, RPH
Title
Owner
Phone
(931) 864-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0000001971 TN Primary

Addresses

Primary practice location

110 Hillcrest Dr
Byrdstown, TN 38549-2323

Mailing address

110 Hillcrest Dr
Byrdstown, TN 38549-2323
Phone (931) 864-3166

Other names 1

  • DAVIDSONS DISCOUNT DRUGS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151008003029 TN Part B Supplier - Mass Immunization (Roster Biller Only) 4284841081 Practice locations: Byrdstown, TN

National Provider Directory

National Provider Directory

Locations

110 Hillcrest Dr
Byrdstown, TN 38549
Phone (931) 864-3166

Practitioners & affiliated clinicians

Practitioners 2

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1912928979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILLCREST DR",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385492323",
            "telephone_number": "931-864-3166",
            "fax_number": "931-864-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLCREST DR",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385492323",
            "telephone_number": "931-864-3166",
            "fax_number": "931-864-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSONS DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "DAVDSON",
        "authorized_official_first_name": "KENDLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-864-3166",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIDSONS DISCOUNT DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byrdstown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.