Mid-Town Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00004902 Issued in TN

Legal business name

MID-TOWN PHARMACY LLC

Doing business as

Mid-Town Pharmacy

Practice address

270 E Court Ave Ste C
Selmer, TN 38375-2304

Phone

(731) 645-7008

Fax

(731) 982-7006

NPI assigned

Jul 28, 2011

Last updated

Sep 23, 2015By 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

Ann Manley, RPH

Title

Pic,Ao

Phone

(731) 645-7008

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mid-Town Pharmacy Doing business as

Locations

Practitioners 4

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.

• Clay M Cooper, PHARM.D.

  • Pharmacist
  • Jackson, TN
  • NPI 1679861892
  NPD (past)
• Christy Marie Doyle, PHARMD

  • Pharmacist
  • Selmer, TN
  • NPI 1124325022
  NPD (past)
• Elizabeth Ann Manley, D.PH.

  • Pharmacist
  • Selmer, TN
  • NPI 1023313707
  NPD (past)
• Jennifer Bias Morris, PHARM.D.

  • Pharmacist
  • Selmer, TN
  • NPI 1023131190
  NPD (past)

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1942588645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E COURT AVE",
            "address_2": "SUITE C",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752304",
            "telephone_number": "731-645-7008",
            "fax_number": "731-982-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E COURT AVE STE C",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752304",
            "telephone_number": "731-645-7008",
            "fax_number": "731-982-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-TOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PIC,AO",
        "authorized_official_telephone_number": "731-645-7008",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00004902",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin McNatt, RN
• Mellissa McTizic, MSW
• Golden Meek, SLP-CCC
• Memphis Hand Centers (Southern Hand Centers)
• Mercy Hospice, LLC (Legacy Hospice of the South)
• Mitchell Eye Center, PLLC
• Andrea Jo Mitchell, O.D.
• Charlotte Mitchell
• Julie Ann Mitchell, PHARMD
• Daniel Wayne Moore, COTA

• Community/Retail Pharmacy in Selmer, TN
• Providers in Selmer, 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 Sep 23, 2015; 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.