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DEBERRY DRUGS INC. NPI 1134117146


NPI Information

NPI: 1134117146
Provider Name: DEBERRY DRUGS INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 44D2297017

Address:
834 MULBERRY AVE
SELMER, TN
ZIP 38375
Phone: (731) 645-6100
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DEBERRY DRUGS INC. is a pharmacy in Selmer, TN. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DEBERRY DRUGS INC. NPI is 1134117146. The provider is registered as an organization entity type.

The provider's business location address is:

834 MULBERRY AVE
SELMER, TN
ZIP 38375
Phone: (731) 645-6100
Fax: (731) 645-4333

The provider's authorized official is Lauren Rickman .
The authorized official title is Book Keeper/cpht and has the following contact phone number (731) 645-6100.

The CLIA number assigned to this NPI record is 44D2297017 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 7/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy2087TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14425357OTHERTENNESSEENABP
29449564MEDICAIDTENNESSEE
31134117146OTHERTENNESSEENPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.