DYER STATION PHARMACY, LLC (NPI# 1811197395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811197395 |
| Entity Type | Organization |
| Organization Name | DYER STATION PHARMACY, LLC |
| Other Organization Name | DUNCAN'S PHARMACY |
| Practice Address |
137 S Main St Dyer TN 38330-1815 |
| Mailing Address |
P.o. Box 265 Dyer TN 38330 |
| Practice Telephone | 7316923578 |
| Practice Fax Number | 7316924219 |
| Mailing Telephone | 7316923578 |
| Mailing Fax Number | 7316924219 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | DEREK HOLYFIELD (MANAGING PARTNER) |
| Authorized Official Telephone | 7316923578 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2878 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1454681 | 05 |
| Other Name | Type Code |
|---|---|
| Duncan's Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376526517 | Dyer Station Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 137 S Main St, Dyer, TN 38330-1815 | 2005-11-22 |
| Street Address |
137 S MAIN ST |
| City | DYER |
| State | TN |
| Zip Code | 38330-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011455 | Derek Holyfield | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2005-11-22 |
| 1952409823 | Gary James Buchanan | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2006-09-21 |
| 1043318975 | Kelly Michelle Weaver | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2006-09-21 |
| 1457338022 | Douglas R Duncan | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2005-12-27 |
| 1225015878 | Philip Greg Emison | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2005-12-26 |
| 1376526517 | Dyer Station Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 137 S Main St, Dyer, TN 38330-1815 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063747491 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 S. Peck's Switch, Dyer, TN 38330 | 2009-10-02 |
| 1154656585 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 Peck's Switch Cove, Dyer, TN 38330 | 2009-10-02 |
| 1841332855 | Dyer Nursing Home, Inc. | Skilled Nursing Facility | 1124 North Main, Dyer, TN 38330-0160 | 2007-02-13 |
| 1942294574 | Edna R Leitherland | Nurse Practitioner | 1123 N Main St, Dyer, TN 38330-1019 | 2005-09-09 |
| 1750921862 | Nickolas James Simpson | Physician Assistant | 1123 N Main St, Dyer, TN 38330-1019 | 2020-01-07 |
| 1114400587 | Ttrn Medical Services Pllc | Nurse Practitioner | 1123 N Main St, Dyer, TN 38330-1019 | 2018-09-12 |
| 1376712448 | Leitherland Family Care Clinic, Pllc | Clinic/Center | 1123 N Main St, Dyer, TN 38330-1019 | 2008-02-22 |
| 1053618298 | Cassandra Prestininzi | Speech-Language Pathologist | 353 W Broad St, Dyer, TN 38330-1405 | 2011-02-24 |
| 1104445659 | Paul Thomas Blair | Occupational Therapist | 322 E College St, Dyer, TN 38330-1730 | 2020-04-14 |
| 1013105824 | Tammie Jean Wade | Massage Therapist | 135 W Front St S, Dyer, TN 38330-1909 | 2007-10-05 |
| Find all providers in zip 38330 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952798993 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 225 Joliet St., Dyer, IN 46311-1709 | 2015-04-16 |
| 1609185065 | Home Medical Equipment and Supply Inc | Durable Medical Equipment & Medical Supplies | 910 Ricahrd Rd., Suite B, Dyer, IN 46311-1782 | 2010-10-04 |
| 1700194784 | Sav Home Medical Supply | Durable Medical Equipment & Medical Supplies | 3 Joliet St, Dyer, IN 46311-1701 | 2010-09-23 |
| 1235313859 | Homemaker's A Plus Care, Inc | Durable Medical Equipment & Medical Supplies | 1546 Joliet St, Dyer, IN 46311-2027 | 2007-12-18 |
| 1841205960 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 770 Joliet St, Dyer, IN 46311-1720 | 2006-07-29 |
| 1588610018 | American Partners Lp | Durable Medical Equipment & Medical Supplies | 805 Joliet St, Dyer, IN 46311 | 2006-05-26 |
| 1114584992 | M&l Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 425 Joliet St Ste 125, Dyer, IN 46311-1775 | 2019-05-28 |
| 1174096192 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 Calumet Ave, Ste 101, Dyer, IN 46311-1596 | 2019-01-03 |
| 1164936787 | Marvin L. Holloman | Durable Medical Equipment & Medical Supplies | 425 Joliet St Ste 125, Dyer, IN 46311-1775 | 2017-11-17 |
| 1114470515 | Favor Medical Supplies & Transportation Services Inc | Durable Medical Equipment & Medical Supplies | 425 Joliet St, Dyer, IN 46311-1765 | 2016-08-02 |
| Find all providers in DYER | ||||
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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.