Apothecary Consultants LLC
Organization Active NPI Community/Retail Pharmacy · Savannah, TN
NPI 1992944631 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1992944631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 4610 (TN)
- Legal business name
- APOTHECARY CONSULTANTS LLC
- Practice address
- 110 Main St
Savannah, TN 38372-2412 - Phone
- (731) 925-6246
- Fax
- (731) 925-6247
- NPI assigned
- Feb 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Angela Roberts Etheridge
- Title
- Owner
- Phone
- (731) 925-6246
Practitioners 3
-
Catherine McCutchen Brown, PHARM.D.
-
Angela Roberts Etheridge, PHARM.D.
-
Karisten Martin, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930005443 | TN | DME Supplier - Pharmacy | 8527109339 | Practice locations: Savannah, TN |
| O20180905000990 | TN | Part B Supplier - Pharmacy | 8527109339 | Practice locations: Savannah, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 4610 | TN | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
110 Main St
Savannah, TN 38372-2412
Mailing address
110 Main St
Savannah, TN 38372-2412
Phone (731) 925-6246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118962 | Other | PK | |
| 1532003 | Medicaid | TN |
Other names
- Main Street Pharmacy
Other providers in Savannah, TN
- Agilitas USA, Inc
- Air Evac EMS Inc
- Marty Maria Alexander
- Paul Alexander
- Alphamed, Inc
- Apothecary Consultants, LLC
- Wanda Aristorenas
- Arkansas Red Anesthesia
- Autumn Ballard
- James Clifton Barhill
All providers in Savannah, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.