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MED RX PHARMACY PC NPI 1760838528


NPI Information

NPI: 1760838528
Provider Name: MED RX PHARMACY PC

Doing Business As: PREEMINENT HEALTH & WELLNESS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D2168783

Address:
1356 UNION UNIVERSITY DR
STE G
JACKSON, TN
ZIP 38305
Phone: (731) 300-7311
Get Directions

MED RX PHARMACY PC is a family medicine in Jackson, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MED RX PHARMACY PC NPI is 1760838528. The provider is registered as an organization entity type.
The provider Is Doing Business As Preeminent Health & Wellness.

The provider's business location address is:

1356 UNION UNIVERSITY DR
STE G
JACKSON, TN
ZIP 38305
Phone: (731) 300-7311
Fax: (731) 300-7319

The provider's authorized official is Brad Medling .
The authorized official title is Ceo and has the following contact phone number (731) 693-7351.

The CLIA number assigned to this NPI record is 44D2168783 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 8/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy5793TENNESSEENo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
4207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12160091OTHERPK

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: 11/14/2023

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