PRUITT'S DISCOUNT PHARMACY, LLC (NPI# 1245600618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245600618 |
| Entity Type | Organization |
| Organization Name | PRUITT'S DISCOUNT PHARMACY, LLC |
| Other Organization Name | PRUITT'S WELLNESS CLINIC, LLC |
| Practice Address |
811 Dickerson Pike C Nashville TN 37207-5632 |
| Practice Telephone | 6155626337 |
| Practice Fax Number | 6153698759 |
| Mailing Telephone | 6155626337 |
| Mailing Fax Number | 6153698759 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | DR. SHAWN DEGEORGE PRUITT SR. (OWNER) |
| Authorized Official Telephone | 6155626337 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
11293 | TN | Ambulatory Health Care Facilities |
| N | 261QR1100X |
Clinic/Center Specialization: Research |
11293 | TN | Ambulatory Health Care Facilities |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
11293 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pruitt's Wellness Clinic, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992209001 | Pruitt's Discount Pharmacy, LLC | Pharmacy | 107 Charles E Davis Blvd, Nashville, TN 37210-2745 | 2018-03-22 |
| Street Address |
811 DICKERSON PIKE C |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538556899 | Dose Healthcare, LLC | Clinic/Center | 1300 Division St, Suite 108, Nashville, TN 37203-4023 | 2015-04-23 |
| 1083803977 | American Current Care, P.a. | Clinic/Center | 342 21st Avenue North, Nashville, TN 37203 | 2007-10-17 |
| 1205826005 | Tennessee Urgent Care Associates, LLC | Clinic/Center | 2510 Murfreesboro Road, Suite 2, Nashville, TN 37217-3547 | 2005-10-24 |
| 1467071795 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 2700 Gallatin Pike Ste A, Nashville, TN 37216-3702 | 2020-04-16 |
| 1902425234 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 330 Wallace Rd, Nashville, TN 37211-4893 | 2020-04-16 |
| 1023556768 | Clinica Hispana La Paz | Clinic/Center | 4053 Nolensville Rd, Nashville, TN 37211-4547 | 2017-02-02 |
| 1275985814 | Ahpaffs,llc | Clinic/Center | 601 Taylor St, Nashville, TN 37208-2635 | 2016-07-07 |
| 1699118828 | Carespot of Nashville (west End Avenue), LLC | Clinic/Center | 3404 W End Ave, Suite 101, Nashville, TN 37203-1029 | 2013-04-08 |
| 1699018051 | Carespot of Nashville (2001 Glen Echo Road), LLC | Clinic/Center | 2001 Glen Echo Rd, Nashville, TN 37215-2807 | 2013-04-03 |
| 1528301223 | Carespot of Donelson (2372 Lebanon Road), LLC | Clinic/Center | 2372 Lebanon Pike, Nashville, TN 37214 | 2013-04-01 |
| Find all providers in NASHVILLE | ||||
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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.