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SHELLNUTS ACES INC NPI 1790052157


NPI Information

NPI: 1790052157
Provider Name: SHELLNUTS ACES INC

Doing Business As: R & M FAMILY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 44D2184353

Address:
1970 BRADFORD HICKS DR STE B
LIVINGSTON, TN
ZIP 38570
Phone: (931) 403-2552
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SHELLNUTS ACES INC is a community/retail pharmacy pharmacy in Livingston, 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. SHELLNUTS ACES INC NPI is 1790052157. The provider is registered as an organization entity type.
The provider Is Doing Business As R & M Family Pharmacy.

The provider's business location address is:

1970 BRADFORD HICKS DR STE B
LIVINGSTON, TN
ZIP 38570-247
Phone: (931) 403-2552
Fax: (931) 403-2556

The provider's authorized official is Jonathan Melton .
The authorized official title is Pharmacist and has the following contact phone number (931) 261-6332.

The CLIA number assigned to this NPI record is 44D2184353 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2011 and was last updated on 6/25/2015.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy4949TENNESSEEYes

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
11530527MEDICAIDTENNESSEE
22132695OTHERPK
36707070001MEDICARE 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

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.