GUARDIAN PHARMACY OF TN ONE (NPI# 1215262670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215262670 |
| Entity Type | Organization |
| Organization Name | GUARDIAN PHARMACY OF TN ONE |
| Other Organization Name | MIDDLE TENNESSEE PHARMACY SERVICES |
| Practice Address |
661 E Lane St Shelbyville TN 37160-3437 |
| Mailing Address |
Guardian Pharmacy of Tennessee One Dept 2389 P.o. Box 11407 Birmingham AL 35246-2389 |
| Practice Telephone | 9316849987 |
| Practice Fax Number | 9316849995 |
| Mailing Telephone | 4048100089 |
| Mailing Fax Number | 4048100094 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | MR. RUSS SPIVEY (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 9316849987 |
| Authorized Official Credential | D.P.H |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000004147 | TN | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
0000004147 | TN | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0000004147 | TN | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
0000004147 | TN | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LOCAL MEDICARE PART B | 103G876440 | 01 |
| TN | BCBS HIT | 4276630 | 01 |
| TN | 1520567 | 05 |
| Other Name | Type Code |
|---|---|
| Middle Tennessee Pharmacy Services | Doing Business As Name - Organization |
| Street Address |
661 E LANE ST |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947372 | Allison Elizabeth Davis | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2018-09-27 |
| 1417409277 | Barry Childers | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-27 |
| 1699227744 | Benjamin Edward Reed | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-25 |
| 1174074405 | Radford Spivey | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-21 |
| 1467903856 | James Howard Potts Jr. | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-20 |
| 1003367582 | William Clement | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-19 |
| 1770034357 | Jacquelynn Donette Marlowe | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-19 |
| 1053862557 | David Brown | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-19 |
| 1487105904 | Tamra Stanley | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-19 |
| 1821549353 | Yolanda Moody | Pharmacist | 661 E Lane St, Shelbyville, TN 37160-3437 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528458452 | United Rx LLC | Pharmacy | 1408 Miller Ave Ste A, Shelbyville, IN 46176-3279 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
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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.