DEBERRY DRUGS INC. (NPI# 1134117146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134117146 |
| Entity Type | Organization |
| Organization Name | DEBERRY DRUGS INC. |
| Practice Address |
834 Mulberry Ave Selmer TN 38375 |
| Mailing Address |
834 Mulberry Ave Selmer TN 38375-2334 |
| Practice Telephone | 7316456100 |
| Practice Fax Number | 7316454333 |
| Mailing Telephone | 7316456100 |
| Mailing Fax Number | 7316454333 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | LAUREN RICKMAN (BOOK KEEPER/CPHT) |
| Authorized Official Telephone | 7316456100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 2087 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NABP | 4425357 | 01 |
| TN | 9449564 | 05 | |
| TN | NPI | 1134117146 | 01 |
| Street Address |
834 MULBERRY AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| Find all providers in zip 38375 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588645 | Mid-town Pharmacy LLC | Pharmacy | 270 E Court Ave Ste C, Selmer, TN 38375-2304 | 2011-07-28 |
| 1376609255 | Robert D Mitchell | Pharmacy | 133 W Court Ave, Selmer, TN 38375-2130 | 2006-12-28 |
| 1134768831 | Joyner Rx, LLC | Pharmacy | 185 W Court Ave, Selmer, TN 38375-2133 | 2019-12-27 |
| 1700818648 | Freds Stores of Tennessee Inc | Pharmacy | 399 Mulberry Ave, Selmer, TN 38375-2305 | 2006-07-07 |
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|---|---|---|---|---|
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| 1003436049 | Frances Freeman | Pharmacy | 502 Maplewood Dr, Greenbrier, TN 37073-4638 | 2020-04-20 |
| 1740809292 | Kerri Elizabeth Jones | Pharmacy | 404 Red Cedar Branch Rd, Kingsport, TN 37664-5049 | 2020-04-14 |
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| 1538793567 | Fpm LLC | Pharmacy | 6078 S 1st St, Milan, TN 38358-3131 | 2020-02-28 |
| 1730727843 | Publix Tennessee, LLC | Pharmacy | 2223 8th Ave S, Nashville, TN 37204-2205 | 2019-12-19 |
| 1447897483 | Palmer Drug, LLC | Pharmacy | 9971 Sr 56, Coalmont, TN 37313-3731 | 2019-12-10 |
| 1013553155 | Vanderbilt University Medical Center | Pharmacy | 1211 Medical Center Dr # 2906, Nashville, TN 37232-0004 | 2019-11-25 |
| 1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.