NUCKOLLS DRUG STORES, INC


Address: 600 Nuckolls Rd, Bolivar, TN 38008-2393
Phone: 7316585207

NUCKOLLS DRUG STORES, INC (NPI# 1437160082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437160082
Entity Type Organization
Organization Name NUCKOLLS DRUG STORES, INC
Other Organization Name HUDSON DRUG STORE
Practice Address 600 Nuckolls Rd
Bolivar
TN 38008-2393
Practice Telephone 7316585207
Practice Fax Number 7316581758
Mailing Telephone 7316585207
Mailing Fax Number 7316581758
Enumeration Date 2006-08-10
Last Update Date 2012-12-11
Authorized Official Name JAMES KIM NUCKOLLS (PRES)
Authorized Official Telephone 7316585207
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy 128 TN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 4401600 01

Other Provider/Organization Names

Other Name Type Code
Hudson Drug Store Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013068220 Nuckolls Drug Stores, Inc Pharmacy 407 W Lafayette St, Bolivar, TN 38008-2651 2007-01-15

Office Location

Street Address 600 NUCKOLLS RD
City BOLIVAR
State TN
Zip Code 38008-2393

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730724493 Hudson Drug Store, LLC Pharmacy 600 Nuckolls Rd, Bolivar, TN 38008-1532 2019-11-16
1306212162 Jason Carter Pharmacist 600 Nuckolls Rd, Bolivar, TN 38008-1532 2015-08-17
1265878557 Freds Stores of Tennessee Inc. Pharmacy 600 Nuckolls Rd, Bolivar, TN 38008-1532 2013-05-14
1043363484 James Kim Nuckolls Pharmacist 600 Nuckolls Rd, Bolivar, TN 38008-1532 2007-01-19
1427109834 Amanda B Baker Pharmacist 600 Nuckolls Rd, Bolivar, TN 38008-1532 2007-01-13
1881745297 Freeman Hunter Baird Jr. Pharmacist 600 Nuckolls Rd, Bolivar, TN 38008-1532 2007-01-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720639172 Shanna Shackelford Nurse Practitioner 11100 Old Hwy 64 W, Bolivar, TN 38008 2019-09-26
1598326233 Holly Brooke Shourd Family Medicine 1359 W Market St., Bolivar, TN 38008 2019-06-24
1992299234 Angela Dawn Haynes Registered Nurse 10825 Hwy 64w, Bolivar, TN 38008 2018-06-20
1326595919 Ashley Evon Jowers Nurse Practitioner 11100 Old Hwy 64 West, Bolivar, TN 38008 2016-09-01
1942458344 Anita Pearl Johnson Physical Therapy Assistant 700 Knuckolls Ave, Bolivar, TN 38008 2008-08-28
1841340007 State of Tennessee Public Health or Welfare 10825 Old Hwy 64, Bolivar, TN 38008 2007-01-11
1164479721 Betty Ragon Lenoir Physical Therapist 789 Tennessee St, Bolivar, TN 38008 2006-05-28
1689623050 County of Hardeman Ambulance 735 Naylor St, Bolivar, TN 38008 2006-05-10
1841287109 Michiel Brent Rudder Family Medicine 622 West Market Street, Bolivar, TN 38008 2005-10-03
1982606497 Richard Mast Reinhard IIi Pediatrics 629 Nuckolls Rd, Bolivar, TN 38008 2005-08-15
Find all providers in zip 38008

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013021328 Sparks Pharmacy Inc Pharmacy 2000 S Springfield Ave, Bolivar, MO 65613-9654 2006-08-17
1801809785 Sparks Pharmacy Inc Pharmacy 1001 E Cambridge St, Bolivar, MO 65613-3502 2006-08-14
1093726630 Stephens Pharmacy Inc Pharmacy 1100 S Springfield Ave, Bolivar, MO 65613-2512 2006-08-10
1902838840 Freds Stores of Tennessee Inc Pharmacy 105 Tennessee St, Bolivar, TN 38008-1822 2006-07-07
1255302451 Citizens Memorial Health Care Foundation Pharmacy 1301b N Oakland Ave, Bolivar, MO 65613-3019 2006-01-27
1073078481 Southern Express Pharmacy Pharmacy 1355 W Market St, Bolivar, TN 38008-1715 2019-02-10
1801318472 Citizens Memorial Health Care Foundation Pharmacy 1100 S Springfield Ave, Bolivar, MO 65613-2512 2017-07-14
1639691959 Citizens Memorial Health Care Foundation Pharmacy 1100 S Springfield Ave Ste A, Bolivar, MO 65613 2017-07-07
1750326195 Portville Pharmacy Inc Pharmacy 323 Main St, Bolivar, NY 14715-1108 2006-06-19
1598723447 The Hatchie Pharmacy LLC Pharmacy 640 Nuckolls Rd, Bolivar, TN 38008-1532 2006-05-02
Find all providers in BOLIVAR

Competitor

Search similar providers

City BOLIVAR
Zip Code 38008

Improve Information

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Dataset Information

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.

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