NPIMap

Organization Active NPI

Terry's Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Jacksboro, TN
National Provider Identifier
1982383832
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TERRY'S PHARMACY, INC.
Practice address
2715 Jacksboro Pike
Jacksboro, TN 37757-4851
Phone
(423) 563-7445
Fax
(423) 563-7448
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Ann Raewyn Snodderly, PHARMD
Title
Pharmacist
Phone
(423) 563-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2715 Jacksboro Pike
Jacksboro, TN 37757-4851

Mailing address

2715 Jacksboro Pike
Jacksboro, TN 37757-4851
Phone (423) 563-7455

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Terry's Pharmacy Inc.2715 Jacksboro Pike, Jacksboro, TN 37757-4851(423) 563-7455 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Terry's Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1982383832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574851",
            "telephone_number": "423-563-7455",
            "fax_number": "423-563-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574851",
            "telephone_number": "423-563-7445",
            "fax_number": "423-563-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "SNODDERLY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "RAEWYN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-563-7455",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.