Epsb LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00003780 Issued in TN

Legal business name

EPSB LLC

Doing business as

Boatwright Pharmacy Atoka

Practice address

139 Wesley Reed Dr Ste F
Atoka, TN 38004-4918

Phone

(901) 837-8801

Fax

(901) 837-8802

NPI assigned

Nov 15, 2012

Last updated

Feb 20, 2017By 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

Emily ProvenceNPI 1063861938

Title

Owner

Phone

(901) 489-3582

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Boatwright Pharmacy Atoka Doing business as

Locations

Practitioners 3

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.

• Emily Provence

  • Pharmacist
  • Atoka, TN
  • NPI 1063861938
  NPD (past) Authorized official
• Paula R Pairmore, PHARM.D.

  • Pharmacist
  • Atoka, TN
  • NPI 1669775706
  NPD (past)
• Donna Woodall, PHARMD

  • Pharmacist
  • Atoka, TN
  • NPI 1134415862
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1962746990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380040737",
            "telephone_number": "901-837-8801",
            "fax_number": "901-837-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WESLEY REED DR STE F",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044918",
            "telephone_number": "901-837-8801",
            "fax_number": "901-837-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPSB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "PROVENCE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-489-3582"
    },
    "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": "00003780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boatwright Pharmacy Atoka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Kaitlyn Durham, RN
• Milfred Olin Eckel III, PT
• Christal Edgeston
• Terri Lynn Embry, ATC, CSCS, PTA
• Encompass Health Partners
• Familyrocks LLC (BellyCare Co.)
• Missy Brown Foster, FNP-BC
• Brandi B Franks, MSN, FNP
• Anna Christina Gann, LPC-MHSP
• Gastrointestinal and Liver Clinic, PC (Horizon Gastroenterology & Neurology clinic)

• Community/Retail Pharmacy in Atoka, TN
• Providers in Atoka, 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 Feb 20, 2017; 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.