Organization Active NPI

Michie Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Michie, TN
National Provider Identifier
1932285053
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3311 Issued in TN
Legal business name
MICHIE PHARMACY
Practice address
5823 Highway 22
Michie, TN 38357-5175
Phone
(731) 239-2100
Fax
(731) 239-2102
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Mr. John Franklin Odom, D.PH.
Title
Owner/Pharmacist
Phone
(731) 239-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3311 TN Primary

Addresses

Primary practice location

5823 Highway 22
Michie, TN 38357-5175

Mailing address

5823 Highway 22
Michie, TN 38357-5175
Phone (731) 239-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1932285053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 HIGHWAY 22",
            "city": "MICHIE",
            "state": "TN",
            "postal_code": "383575175",
            "telephone_number": "731-239-2100",
            "fax_number": "731-239-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 HIGHWAY 22",
            "city": "MICHIE",
            "state": "TN",
            "postal_code": "383575175",
            "telephone_number": "731-239-2100",
            "fax_number": "731-239-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "731-239-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.