Phipps Pharmacy #3

LBN: Phipps Pharmacy Inc
Phipps Pharmacy #3 is an health care organization with primary practice located at 10 Channing Way , Jackson TN 38305-2010. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Phipps Pharmacy Inc can be contacted via phone (731) 512-1002, or through Phipps, Jerry Robert via phone (731) 352-0820.

Contact Information

Primary practice address
10 Channing Way Jackson TN 38305-2010
Phone: (731) 512-1002
Fax: (731) 512-1009
Website:
Map and Directions
Authorized official contact:
Name: Phipps, Jerry Robert PHARMD
Phone: (731) 352-0820

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4440 Tennessee

Profile Details

NPI number 1811184203
LBN Legal business name Phipps Pharmacy Inc
DBA Doing business as Phipps Pharmacy #3
Authorized official Phipps, Jerry Robert PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2007
Last updated Nov 17th, 2015 - about 9 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 1811184203 NPPES
Other 4440652 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1518372 NCPDP PROVIDER IDENTIFICATION NUMBER

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