GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC (NPI# 1871978064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871978064 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC |
| Other Organization Name | GASTRO ONE PHARMACY |
| Practice Address |
1324 Wolf Park Dr Germantown TN 38138-1741 |
| Mailing Address |
1419 Kensington Square Ct Murfreesboro TN 37130-6939 |
| Practice Telephone | 8444278766 |
| Practice Fax Number | 8557446439 |
| Mailing Telephone | 6153969080 |
| Mailing Fax Number | 8557446439 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | MR. DAVID HARANO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8444278766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5599 | TN | Suppliers |
| Other Name | Type Code |
|---|---|
| Gastro One Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1275076416 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 2999 Centre Oak Way, Germantown, TN 38138-6308 | 2016-11-21 |
| 1457894693 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 8000 Wolf River Blvd, Ste. 200, Germantown, TN 38138-1754 | 2016-11-21 |
| 1396288668 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 76 Capital Way, Ste. E, Atoka, TN 38004-6832 | 2016-11-18 |
| 1164965406 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2016-11-18 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1639611999 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-11-17 |
| Street Address |
1324 WOLF PARK DR |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968294 | Orin Leonard Davidson IIi | Internal Medicine | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-11-02 |
| 1194377457 | Sarah K. Smith | Nurse Practitioner | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2019-07-16 |
| 1508321621 | Patience Whitten | Nurse Practitioner | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2019-02-02 |
| 1437646510 | Stefanie Gadd Morris | Nurse Practitioner | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2018-04-15 |
| 1588175145 | Tami Dotson | Nurse Practitioner | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2017-10-22 |
| 1639611999 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-11-17 |
| 1568447142 | John David Ward | Internal Medicine | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-12-07 |
| 1437134020 | Robert Strode Wooten | Internal Medicine | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-12-07 |
| 1689657223 | Alan Daniel Samuels | Internal Medicine | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-11-29 |
| 1316929912 | Randolph M. Mccloy | Internal Medicine | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2005-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346682085 | Wegmans Food Markets, Inc. | Pharmacy | 20600 Seneca Meadows Pkwy, Germantown, MD 20876-7022 | 2013-07-23 |
| 1629126982 | Roundys Supermarkets Inc | Pharmacy | N112w16200 Mequon Rd, Germantown, WI 53022-3334 | 2007-01-05 |
| 1316972375 | Giant of Maryland LLC | Pharmacy | 20944 Frederick Rd, Germantown, MD 20876-4101 | 2006-07-11 |
| 1366476095 | Kroger Limited Partnership I | Pharmacy | 2130 Exeter Rd, Germantown, TN 38138-3922 | 2006-07-10 |
| 1376599886 | Jewel Food Stores Inc | Pharmacy | N112 W 15800 Mequon Rd, Germantown, WI 53022 | 2006-05-26 |
| 1982124087 | Anovorx Group, LLC | Pharmacy | 7945 Wolf River Blvd Ste 200, Germantown, TN 38138-1768 | 2017-06-21 |
| 1548700537 | Ne2 LLC | Pharmacy | 20410 Observation Dr Ste 112, Germantown, MD 20876-6419 | 2017-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1063027258 | Aspire Pharmacy LLC | Pharmacy | 907 Rivergate Pkwy # E9, Goodlettsville, TN 37072-2324 | 2020-09-14 |
| 1003436049 | Frances Freeman | Pharmacy | 502 Maplewood Dr, Greenbrier, TN 37073-4638 | 2020-04-20 |
| 1740809292 | Kerri Elizabeth Jones | Pharmacy | 404 Red Cedar Branch Rd, Kingsport, TN 37664-5049 | 2020-04-14 |
| 1073149548 | Cordant Pharmacy Tennessee, LLC | Pharmacy | 640 Spence Ln Ste 220, Nashville, TN 37217-1278 | 2020-03-17 |
| 1538793567 | Fpm LLC | Pharmacy | 6078 S 1st St, Milan, TN 38358-3131 | 2020-02-28 |
| 1730727843 | Publix Tennessee, LLC | Pharmacy | 2223 8th Ave S, Nashville, TN 37204-2205 | 2019-12-19 |
| 1447897483 | Palmer Drug, LLC | Pharmacy | 9971 Sr 56, Coalmont, TN 37313-3731 | 2019-12-10 |
| 1013553155 | Vanderbilt University Medical Center | Pharmacy | 1211 Medical Center Dr # 2906, Nashville, TN 37232-0004 | 2019-11-25 |
| 1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.