Organization Active NPI

Charles L Porter

Doing business as Brighton Pharmacy

  • Community/Retail Pharmacy
  • Brighton, TN
National Provider Identifier
1972554335
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000004268 Issued in TN
Legal business name
CHARLES L PORTER
Doing business as
Brighton Pharmacy
Practice address
1880 Old Highway 51 S
Brighton, TN 38011-8025
Phone
(901) 837-8981
Fax
(901) 837-8986
NPI assigned
May 12, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Charles Porter, RPHNPI 1376583096
Title
Owner,Pic,Ao
Phone
(731) 635-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000004268 TN Primary

Addresses

Primary practice location

1880 Old Highway 51 S
Brighton, TN 38011-8025

Mailing address

1880 Old Highway 51 S
Brighton, TN 38011-8025
Phone (901) 837-8981

Other identifiers 1

IdentifierTypeStateIssuer
2095007OtherPK

Other names 1

  • BRIGHTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1880 Old Highway 51 S
Brighton, TN 38011
Phone (901) 290-3916

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1972554335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OLD HIGHWAY 51 S",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380118025",
            "telephone_number": "901-837-8981",
            "fax_number": "901-837-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OLD HIGHWAY 51 S",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380118025",
            "telephone_number": "901-837-8981",
            "fax_number": "901-837-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L PORTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "731-635-5036",
        "authorized_official_credential": "RPH"
    },
    "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": "0000004268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, TN

Sources for this page

  • 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.