Michie Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3311 Issued in TN

Legal business name

MICHIE PHARMACY INC

Doing business as

MICHIE PHARMACY

Practice address

5823 Highway 22
Michie, TN 38357-5175

Phone

(731) 239-2100

Fax

(731) 239-2102

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

John Odom, DPH

Title

Owner and PHCT

Phone

(731) 239-2100

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MICHIE PHARMACY Doing business as

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1952491888",
    "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"
        },
        {
            "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 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER AND PHCT",
        "authorized_official_telephone_number": "731-239-2100",
        "authorized_official_credential": "DPH"
    },
    "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": "3311",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195249188",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHIE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Regional Health Center
• Michie Health LLC
• Michie Healthcare Associates, LLC
• Michie Medical Clinic, Inc.
• Michie Pharmacy
• Linda Faye Moore
• Regional Health Care Solutions Inc
• Mary Sue Rhoads, FNP
• Kerri E. Sumler, FNP-C

• Community/Retail Pharmacy in Michie, TN
• Providers in Michie, 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 Jan 22, 2016; 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.