Mike Swaim & Van Swaim & Bob
Organization Active NPI Community/Retail Pharmacy · Dresden, TN
NPI 1922106962 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1922106962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 331 (TN)
- Legal business name
- MIKE SWAIM & VAN SWAIM & BOB
- Practice address
- 8720 Highway 22
Ste a
Dresden, TN 38225-4348 - Phone
- (731) 364-2207
- Fax
- (731) 364-2173
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Daniel, RPH
- Title
- Owner
- Phone
- (731) 364-2207
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bob'S Discount Pharmacy |
Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028326 | TN | DME Supplier - Pharmacy | 1557482056 | Practice locations: Dresden, TN |
National Provider Directory
Locations
8720 Highway 22
#A
Dresden, TN 38225
Phone (731) 364-2207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 331 | TN | Yes |
Addresses
Primary practice location
8720 Highway 22
Ste a
Dresden, TN 38225-4348
Mailing address
8720 Highway 22
Ste a
Dresden, TN 38225-4348
Phone (731) 364-2207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4406030 | Medicaid | TN | |
| 2095273 | Other | PK |
Other names
- BOBS DISCOUNT PHARMACY
Other providers in Dresden, TN
- Amy Elizabeth Mallon
- Dena D McClure
- McKenzie Medical Center
- McKenzie Medical Center, PC
- Linda Jonelle McNeely
- Lauren Mitchell
- Barbara Montgomery
- James Taylor Moss Jr.
- Ayodeji C Olusanya
- Optometric Center Professional Corporation
All providers in Dresden, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.