Phipps Pharmacy #4

LBN: Phipps Pharmacy Inc
Phipps Pharmacy #4 is an health care organization with primary practice located at 19 Hughes Dr , Jackson TN 38305-1510. 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. Phipps Pharmacy Inc can be contacted via phone (731) 668-9072, or through Phipps, Jerry Robert via phone (731) 352-0820.

Contact Information

Primary practice address
19 Hughes Dr Jackson TN 38305-1510
Fax: (731) 664-9076
Website:
Authorized official contact:
Name: Phipps, Jerry Robert PHARM D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 308 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X 308 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X 308 Tennessee

Profile Details

NPI number 1700971264
LBN Legal business name Phipps Pharmacy Inc
DBA Doing business as Phipps Pharmacy #4
Authorized official Phipps, Jerry Robert PHARM D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated May 31st, 2024 - about 4 months 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 1700971264 NPPES
Tennessee MEDICAID 1518370
Tennessee Other 4417627

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