DYER STATION PHARMACY LLC NPI 1447625363

NPI Information

  • NPI: 1447625363
  • Provider Name: DYER STATION PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: DUNCAN'S EXPRESS PHARMACY
  • CLIA Number: 44D2184318
  • Address: 2017 S COLLEGE ST STE B
    TRENTON, TN
    ZIP 38382
  • Phone: (731) 855-0500

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NPI Details

DYER STATION PHARMACY LLC is a community/retail pharmacy pharmacy in Trenton, 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. DYER STATION PHARMACY LLC NPI is 1447625363. The provider is registered as an organization entity type.
The provider Is Doing Business As Duncan's Express Pharmacy.

The provider's business location address is:

2017 S COLLEGE ST STE B
TRENTON, TN
ZIP 38382-934
Phone: (731) 855-0500
Fax: (731) 855-0400

The provider's authorized official is Derek Holyfield .
The authorized official title is Managing Partner and has the following contact phone number (731) 692-3578.

The CLIA number assigned to this NPI record is 44D2184318 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 12/3/2015 and was last updated on 12/5/2019.

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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy0000005704TENNESSEEYes
33336S0011XPharmacySpecialty PharmacyNo

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
12155145OTHERPK
2Q033472MEDICAIDTENNESSEE

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: 11/21/2025

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