JEFFCO RUTLEDGE DRUGS (NPI# 1417018698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417018698 |
| Entity Type | Organization |
| Organization Name | JEFFCO RUTLEDGE DRUGS |
| Other Organization Name | SMITH DRUG STORE |
| Practice Address |
8120 Rutledge Pike Rutledge TN 37861-0406 |
| Mailing Address |
Po Box 406 Rutledge TN 37861-0406 |
| Practice Telephone | 8658285222 |
| Practice Fax Number | 8658285959 |
| Mailing Telephone | 8658285222 |
| Mailing Fax Number | 8658285959 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | JILL CABBAGE (PHARMACIST IN CHARGE/OWNER) |
| Authorized Official Telephone | 8658285222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23997 | TN | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Smith Drug Store | Doing Business As Name - Organization |
| Street Address |
8120 RUTLEDGE PIKE |
| City | RUTLEDGE |
| State | TN |
| Zip Code | 37861-0406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134319874 | Doug Smith | Pharmacist | 8120 Rutledge Pike, Rutledge, TN 37861-0406 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962541326 | Mark E. Holland | Internal Medicine | 8048 Rutledge Pike, Rutledge, TN 37861 | 2007-02-05 |
| 1336286749 | Brenda Sue Jones | Licensed Practical Nurse | 185 Justice Center Dr, Rutledge, TN 37861 | 2007-02-01 |
| 1871639781 | Brenda Fay Bradley | Registered Nurse | 185 Justice Center Drive, Rutledge, TN 37861 | 2007-01-29 |
| 1609921865 | Susan Fay Hodge | Registered Nurse | 185 Justice Center Dr., Rutledge, TN 37861 | 2007-01-25 |
| 1215089289 | Horizon Healthcare Services Pllc | Internal Medicine | 8732 Rutledge Pike, Suite B, Rutledge, TN 37861 | 2007-01-18 |
| 1831286640 | Woodard Duffey Foutch | Dentist | 7786 Rutledge Pike, Rutledge, TN 37861 | 2006-10-05 |
| 1134110042 | County of Grainger | Ambulance | 270 Justice Center Drive, Suite 101, Rutledge, TN 37861 | 2005-10-31 |
| 1134127343 | Dennis Howard Duck | Emergency Medicine | 8731 Rutledge Pike, Rutledge, TN 37861 | 2005-07-12 |
| 1396203840 | Ashton Trent | Registered Nurse | 185 Justice Center Drive, Rutledge, TN 37861 | 2019-03-04 |
| 1235694563 | Kayla Marie Stooksbury | Nutritionist | 185 Justice Center Drive, Rutledge, TN 37861 | 2019-01-31 |
| Find all providers in zip 37861 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084911 | Gretta French Vance | Pharmacist | 440 Pheasant Vw, Rutledge, TN 37861-5940 | 2020-05-08 |
| 1134319874 | Doug Smith | Pharmacist | 8120 Rutledge Pike, Rutledge, TN 37861-0406 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1407453756 | Cameron Davidson | Pharmacist | 1037 Livingstone Ln, Mount Juliet, TN 37122-0605 | 2020-10-08 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1023623279 | Jansje M Hoppe-roberts | Pharmacist | 2539 Brachton Ave, Germantown, TN 38139-6409 | 2020-09-14 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1477167500 | Alysa Alexandria Ness | Pharmacist | 105 Woodyside Dr, Hendersonville, TN 37075-4445 | 2020-09-05 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 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.