GUARDIAN PHARMACY OF TN ONE NPI 1215262670

NPI Information

NPI: 1215262670
Provider Name: GUARDIAN PHARMACY OF TN ONE

Doing Business As: MIDDLE TENNESSEE PHARMACY SERVICES

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
661 E LANE ST
SHELBYVILLE, TN
ZIP 37160
Phone: (931) 684-9987
Get Directions

GUARDIAN PHARMACY OF TN ONE is a long term care pharmacy pharmacy in Shelbyville, TN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF TN ONE NPI is 1215262670. The provider is registered as an organization entity type.
The provider Is Doing Business As Middle Tennessee Pharmacy Services.

The provider's business location address is:

661 E LANE ST
SHELBYVILLE, TN
ZIP 37160-437
Phone: (931) 684-9987
Fax: (931) 684-9995

The provider's authorized official is Russ Spivey .
The authorized official title is Pharmacist In Charge and has the following contact phone number (931) 684-9987.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 1/27/2016.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		0000004147	TENNESSEE	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	0000004147	TENNESSEE	No
3	3336C0004X	Pharmacy	Compounding Pharmacy	0000004147	TENNESSEE	No
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	0000004147	TENNESSEE	No
5	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

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
1	103G876440	OTHER	TENNESSEE	LOCAL MEDICARE PART B
2	4276630	OTHER	TENNESSEE	BCBS HIT
3	=========	OTHER	TENNESSEE	TRICARE
4	1520567	MEDICAID	TENNESSEE
5	6420790001	MEDICARE NSC

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

NPI Synchronization or Removal

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