AMPHARM, INC. (NPI# 1609125376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609125376 |
| Entity Type | Organization |
| Organization Name | AMPHARM, INC. |
| Practice Address |
45 Forest Cv Jackson TN 38301 |
| Mailing Address |
Po Box 307 Parsons TN 38363-0307 |
| Practice Telephone | 7318474013 |
| Practice Fax Number | 7318474016 |
| Mailing Telephone | 7318474013 |
| Mailing Fax Number | 7318474016 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | ROBIN F BRADLEY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6155958383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
0000004982 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4445284 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447278221 | Ampharm, Inc. | Pharmacy | 1971 Tennessee Ave N, Parsons, TN 38363 | 2006-07-18 |
| Street Address |
45 FOREST CV |
| City | JACKSON |
| State | TN |
| Zip Code | 38301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891750469 | Forest Cove Nursing and Rehab Center Inc | Nursing Facility/Intermediate Care Facility | 45 Forest Cv, Jackson, TN 38301 | 2006-04-18 |
| 1053799890 | Lauren Ashlee Frye | Physical Therapy Assistant | 45 Forest Cv, Jackson, TN 38301-4366 | 2015-05-13 |
| 1013253863 | Brynn Shellene Smith | Occupational Therapist | 45 Forest Cv, Jackson, TN 38301-4366 | 2012-12-26 |
| 1154611408 | Ushma Mehta | Physical Therapist | 45 Forest Cv, Jackson, TN 38301-4366 | 2011-04-07 |
| 1558668178 | Susan Renee Britt | Physical Therapy Assistant | 45 Forest Cv, Jackson, TN 38301-4366 | 2011-02-16 |
| 1912151788 | Judy Kaye Chaussard | Occupational Therapy Assistant | 45 Forest Cv, Jackson, TN 38301-4366 | 2008-11-06 |
| 1760649461 | Amy C Heffernan | Physical Therapy Assistant | 45 Forest Cv, Jackson, TN 38301-4366 | 2008-05-20 |
| 1578768073 | Hollie Michelle Cochran | Occupational Therapy Assistant | 45 Forest Cv, Jackson, TN 38301-4366 | 2007-06-15 |
| 1437377546 | Katherine Tillman | Occupational Therapist | 45 Forest Cv, Jackson, TN 38301-4366 | 2007-04-23 |
| 1841416450 | Vergel Murillo | Physical Therapist | 45 Forest Cv, Jackson, TN 38301-4366 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| 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] |
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| 1942314570 | Pharmaceutical Services Inc | Pharmacy | W209 N17321 Industrial Dr, Jackson, WI 53037-9389 | 2006-08-19 |
| 1326029448 | R.c.mcdonald Co Inc | Pharmacy | 1701 Charter St, Jackson, LA 70748-5927 | 2005-11-07 |
| 1063031698 | Ltc Leonard LLC | Pharmacy | 303 W Prospect St, Jackson, MI 49203-4113 | 2020-04-14 |
| 1366061475 | Fpj Inc | Pharmacy | 200 W Main St, Jackson, TN 38301-6114 | 2020-04-09 |
| 1972657179 | Teton County Hospital District | Pharmacy | 625 E Broadway Ave, Jackson, WY 83001-8642 | 2007-01-23 |
| 1811075336 | Jackson Pharmacy Inc | Pharmacy | 200 W Washington St, Jackson, MO 63755-1858 | 2006-11-01 |
| 1710063276 | W.a. Foote Memorial Hospital, Inc. | Pharmacy | 2200 Springport Rd, Jackson, MI 49202-1432 | 2006-10-27 |
| 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 |
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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.