Mooney'S Pharmacy
LBN: Mooney'S Pharmacy
Mooney'S Pharmacy is an health care organization with primary practice located at 1107 N Roan St , Johnson City TN 37601-3901. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mooney'S Pharmacy can be contacted via phone (423) 926-7333, or through Mooney, Thomas via phone (423) 926-7333.
Contact Information
Primary practice address
1107 N Roan St
Johnson City TN 37601-3901
Phone: (423) 926-7333
Fax: (423) 926-6222
Website:
Authorized official contact:
Name: Mooney, Thomas Doctor of Public Health (DPH)
Phone: (423) 926-7333
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1663 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1982766903 |
|---|---|
| LBN Legal business name | Mooney'S Pharmacy |
| DBA Doing business as | Mooney'S Pharmacy |
| Authorized official | Mooney, Thomas Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982766903 | NPPES |
| Tennessee | MEDICAID | 1454962 | |
| Tennessee | Other | 2089868 |
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