Danny B Dedmon

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DANNY B DEDMON

Doing business as

CITY DRUG COMPANY

Practice address

101 S Mill Ave
Dyersburg, TN 38024-4636

Phone

(731) 285-7284

Fax

(731) 285-8959

NPI assigned

Dec 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Danny B Dedmon, D.PH

Title

Owner-Pharmacist

Phone

(731) 285-7284

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CITY DRUG COMPANY Doing business as

Locations

Practitioners 1

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

• Christi L Jacobi, PHARMD

  • Pharmacist
  • Dyersburg, TN
  • NPI 1972588838
  NPD (past)

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932261658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MILL AVE",
            "address_2": "P O DRAWER C",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380244636",
            "telephone_number": "731-285-7284",
            "fax_number": "731-285-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MILL AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380244636",
            "telephone_number": "731-285-7284",
            "fax_number": "731-285-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY B DEDMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DEDMON",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "731-285-7284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452252",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP -NCPDP",
            "identifier": "4406129",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "0339",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Rose Crum
• Kerri B Cunningham
• Da Dove Transportation LLC
• Daniel Green MD
• Frances Leemary Daniels-Moses, LCSW
• Mary S David, MD
• Vonda Leeann Davis, FNP
• Georgia Barnes Day, PTA
• Joel Allen Deal
• Delta Sleep Center PLLC

• Community/Retail Pharmacy in Dyersburg, TN
• Providers in Dyersburg, 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 Mar 7, 2023; 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.