Pharmacy at Family Medical Center PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000006174 Issued in TN

Legal business name

PHARMACY AT FAMILY MEDICAL CENTER PLLC

Doing business as

The Pharmacy at Family Medical Center PLLC

Practice address

300 N Congress Blvd
Smithville, TN 37166-2704

Phone

(615) 215-6979

Fax

(615) 597-6337

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Susannah Daughtry, BS PHARMACY

Title

Owner

Phone

(615) 215-6979

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Pharmacy at Family Medical Center PLLC Doing business as

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1982130290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662704",
            "telephone_number": "615-215-6979",
            "fax_number": "615-597-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662704",
            "telephone_number": "615-215-6979",
            "fax_number": "615-597-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY AT FAMILY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DAUGHTRY",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-215-6979",
        "authorized_official_credential": "BS PHARMACY"
    },
    "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": "0000006174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q034972",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy at Family Medical Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neighborhood Walk-in
• NHC Healthcare Smithville LLC
• NHC Healthcare-Smithville LLC (NHC HealthCare, Smithville)
• Pamela Lyn Nickels, D.C.
• Johnny Paul, DPH
• Robert Reed Pitts IV, MD
• Peggy Poag, PT
• Christopher Bailey Price, DC
• Kay Quintero, LPC, LSPE
• Mackenzie Kay Rehnberg

• Community/Retail Pharmacy in Smithville, TN
• Providers in Smithville, 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 Jul 19, 2018; 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.