Mike Swaim & Van Swaim & Bob

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

331 Issued in TN

Legal business name

MIKE SWAIM & VAN SWAIM & BOB

Doing business as

Bobs Discount Pharmacy

Practice address

8720 Highway 22
Ste a
Dresden, TN 38225-4348

Phone

(731) 364-2207

Fax

(731) 364-2173

NPI assigned

Sep 21, 2006

Last updated

Jul 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Daniel, RPH

Title

Owner

Phone

(731) 364-2207

Specialties & licenses 2

Addresses

Other names 1

• BOBS DISCOUNT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1922106962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 HIGHWAY 22",
            "address_2": "STE A",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382254348",
            "telephone_number": "731-364-2207",
            "fax_number": "731-364-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 HIGHWAY 22",
            "address_2": "STE A",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382254348",
            "telephone_number": "731-364-2207",
            "fax_number": "731-364-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE SWAIM & VAN SWAIM & BOB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-364-2207",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOBS DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Elizabeth Mallon, PHARM.D
• Dena D McClure
• McKenzie Medical Center (Dresden Pharmacy)
• McKenzie Medical Center, PC (Hometown Health Clinic)
• Linda Jonelle McNeely, PTA
• Lauren Mitchell
• Barbara Montgomery, FNP
• James Taylor Moss Jr., D.D.S.
• Ayodeji C Olusanya
• Optometric Center Professional Corporation (Optometric Center PC)

• Community/Retail Pharmacy in Dresden, TN
• Providers in Dresden, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.