NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

PROMISECARE PHARMACY LLC
605 BAKERTOWN RD
ANTIOCH, TN37013-2657
 Phone: 615-915-5266
 Fax: 305-222-7221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROMISECARE PHARMACY LLC

NPI # 1215176201
LBN Legal business name PROMISECARE PHARMACY LLC
Authorized official BABI TUCKER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2009
Last updated 08/08/2013 - About 13 years ago
Identifiers
TN License # 0000004619
TN Medicaid 1513392
Other 2118982 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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