City Drug Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4022 Issued in TN

Legal business name

CITY DRUG COMPANY

Practice address

1511 E Main St
Humboldt, TN 38343-2901

Phone

(731) 784-2724

Fax

(731) 784-5801

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William David Roe Jr., PHARM DNPI 1942340922

Title

Pharmacist,President

Phone

(731) 784-2724

Specialties & licenses 2

Addresses

Tax ID family

City Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City Drug Co of Humboldt

  • Pharmacy
  • Humboldt, TN
  • NPI 1396721130
  NPD tax ID

Practitioners 1

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

• William David Roe Jr.

  • Pharmacist
  • Humboldt, TN
  • NPI 1942340922
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962542969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432901",
            "telephone_number": "731-784-2724",
            "fax_number": "731-784-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432901",
            "telephone_number": "731-784-2724",
            "fax_number": "731-784-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST,PRESIDENT",
        "authorized_official_telephone_number": "731-784-2724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "4022",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Burgess, PA
• Martha Jane Carrabon, LPTA
• Dafnis Carolina Carranza, M.D.
• Ernesto Chioco, M.D.
• City Drug Co of Humboldt
• CLC of Humboldt, LLC
• Rob Cole, PTA
• Jana M Combs, APRN
• Conventional and Alternative Therapy Health Services PLLC
• Enquinetta Crawford

• Durable Medical Equipment & Medical Supplies in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.