Organization Active NPI

Community Pharmacy LLC

  • Community/Retail Pharmacy
  • Tullahoma, TN
National Provider Identifier
1972893634
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
34222 Issued in TN
Legal business name
COMMUNITY PHARMACY LLC
Doing business as
Community Pharmacy
Practice address
1805 N Jackson St Ste 8
Tullahoma, TN 37388-2275
Phone
(931) 571-8644
Fax
(931) 571-8706
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Anthony Afamefuna Okonkwo, PHARM. D
Title
Member
Phone
(267) 809-1401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 34222 TN Primary
Compounding Pharmacy 3336C0004X 34222 TN

Addresses

Primary practice location

1805 N Jackson St Ste 8
Tullahoma, TN 37388-2275

Mailing address

1805 N Jackson St Ste 8
Tullahoma, TN 37388-1821
Phone (931) 571-8644

Other names 1

  • Community Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

707 Coleman Ave
Ste 200
West Monroe, LA 71292
Phone (318) 398-2100

2045 Antioch Pike
Antioch, TN 37013
Phone (615) 678-1298

1805 N Jackson St
Ste 8
Tullahoma, TN 37388
Phone (931) 454-2296

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1972893634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST STE 8",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373881821",
            "telephone_number": "931-571-8644",
            "fax_number": "931-571-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST STE 8",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882275",
            "telephone_number": "931-571-8644",
            "fax_number": "931-571-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "AFAMEFUNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-809-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "34222",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TN",
            "license": "34222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.