NPIMap

Organization Active NPI

Pruitt'S Discount Pharmacy, LLC

  • Clinic Pharmacy
  • Nashville, TN
National Provider Identifier
1992209001
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
6267 Issued in TN
Legal business name
PRUITT'S DISCOUNT PHARMACY, LLC
Practice address
107 Charles E Davis Blvd
Nashville, TN 37210-2745
Phone
(615) 415-7247
Fax
(615) 369-8759
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Shawn Pruitt
Title
Owner
Phone
(615) 562-6337

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 6267 TN Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

107 Charles E Davis Blvd
Nashville, TN 37210-2745

Mailing address

811 Dickerson Pike Ste C
Nashville, TN 37207-5633
Phone (615) 562-6337

Other identifiers 1

IdentifierTypeStateIssuer
2175559OtherPK

Other names 1

  • Pruitts Pharmacy at Neighborhood Health Napier Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pruitt'S Pharmacy LLC at Neighborhood Health Napier Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1992209001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DICKERSON PIKE STE C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075633",
            "telephone_number": "615-562-6337",
            "fax_number": "615-369-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHARLES E DAVIS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102745",
            "telephone_number": "615-415-7247",
            "fax_number": "615-369-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITT'S DISCOUNT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-562-6337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TN",
            "license": "6267",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pruitts Pharmacy at Neighborhood Health Napier Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.