Pegasus Express Pharmacy

LBN: Americare Pharmacy Services Llc
Pegasus Express Pharmacy is an health care organization with primary practice located at 621 E 15Th St Ste D Suite D, Cookeville TN 38501-1875. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Americare Pharmacy Services Llc can be contacted via phone (931) 528-0070, or through Dunham, James via phone (931) 528-0070.

Contact Information

Primary practice address
621 E 15Th St Ste D Suite D Cookeville TN 38501-1875
Phone: (931) 528-0070
Fax: (866) 471-1114
Website:
Map and Directions
Authorized official contact:
Name: Dunham, James
Phone: (931) 528-0070

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 4182 Tennessee

Profile Details

NPI number 1760585871
LBN Legal business name Americare Pharmacy Services Llc
DBA Doing business as Pegasus Express Pharmacy
Authorized official Dunham, James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760585871 NPPES
Kansas MEDICAID 200421130A
Kansas MEDICAID 1760585871
Kansas MEDICAID 606257301
Kansas Other 2094722
Kansas MEDICAID 1760585871

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