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AMMED DIRECT LLC NPI 1215903182


NPI Information

NPI: 1215903182
Provider Name: AMMED DIRECT LLC

Doing Business As: AMMED HOMECARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5720 CROSSINGS BLVD
STE B
ANTIOCH, TN
ZIP 37013
Phone: (615) 941-3800
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AMMED DIRECT LLC is a community/retail pharmacy pharmacy in Antioch, TN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. AMMED DIRECT LLC NPI is 1215903182. The provider is registered as an organization entity type.
The provider Is Doing Business As Ammed Homecare Pharmacy.

The provider's business location address is:

5720 CROSSINGS BLVD
STE B
ANTIOCH, TN
ZIP 37013-144
Phone: (615) 941-3800
Fax: (615) 941-3822

The provider's authorized official is Kelly R Thomas .
The authorized official title is Secretary and has the following contact phone number (615) 905-5200.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 8/26/2015.


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
13336M0002XPharmacyMail Order PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy4128TENNESSEEYes

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
14438001OTHEROTHER ID NUMBER
24443240002MEDICARE NSC
3145504MEDICAIDTENNESSEE

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

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