Active NPI
Carters SB LLC
- Community/Retail Pharmacy
- Fayetteville, TN
National Provider Identifier
1962313775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CARTERS SB LLC
- Practice address
- 6 Eldad Rd
Fayetteville, TN 37334-7005 - Phone
- (931) 438-0760
- Fax
- (931) 433-1169
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimmy Tucker, RPH
- Title
- Ceo / President / Owner
- Phone
- (601) 946-1826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
6 Eldad Rd
Fayetteville, TN 37334-7005
Mailing address
10394 Tidwell Rd
Bon Aqua, TN 37025-1567
Phone (601) 946-1826
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1962313775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10394 TIDWELL RD",
"city": "BON AQUA",
"state": "TN",
"postal_code": "370251567",
"telephone_number": "601-946-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ELDAD RD",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373347005",
"telephone_number": "931-438-0760",
"fax_number": "931-433-1169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTERS SB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "JIMMY",
"authorized_official_title_or_position": "CEO / PRESIDENT / OWNER",
"authorized_official_telephone_number": "601-946-1826",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
- Joan Butler Carter, RN
- Carters at Stone Bridge LLC (Carters at Stonebridge)
- Carters Compounding Pharmacy
- Carters Drugs LLC
- Carters Inc (Carters Drug Store)
- Mary Causey
- Center for Physical Medicine
- Chiropractic Health Center
- Christopher E Gafford Dba Gafford Family Medicine (Gafford Family Medicine)
- Kerri Lu Leva Cisney, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.