JOHN E MOTHERAL NPI 1891837654

NPI Information

  • NPI: 1891837654
  • Provider Name: JOHN E MOTHERAL
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Other Name: MOTHERAL SUPER DRUG
  • Address: 2340 CEDAR ST
    MC KENZIE, TN
    ZIP 38201
  • Phone: (731) 352-3242

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NPI Details

JOHN E MOTHERAL is a pharmacist in Mc Kenzie, TN. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. JOHN E MOTHERAL NPI is 1891837654. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Motheral Super Drug.

The provider's business location address is:

2340 CEDAR ST
MC KENZIE, TN
ZIP 38201-249
Phone: (731) 352-3242
Fax: (731) 352-5860

The provider's authorized official is Paul Thomas Motheral .
The authorized official title is Manager and has the following contact phone number (731) 352-3242.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 1/9/2019.

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
1183500000XPharmacist0000637TENNESSEEYes

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
11452452MEDICAIDTENNESSEE

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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