CHARLES L PORTER (NPI# 1972554335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972554335 |
| Entity Type | Organization |
| Organization Name | CHARLES L PORTER |
| Other Organization Name | BRIGHTON PHARMACY |
| Practice Address |
1880 Old Highway 51 S Brighton TN 38011-8025 |
| Practice Telephone | 9018378981 |
| Practice Fax Number | 9018378986 |
| Mailing Telephone | 9018378981 |
| Mailing Fax Number | 9018378986 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | CHARLES PORTER (OWNER,PIC,AO) |
| Authorized Official Telephone | 7316355036 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0000004268 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2095007 | 01 |
| Other Name | Type Code |
|---|---|
| BRIGHTON PHARMACY | Doing Business As Name - Organization |
| Street Address |
1880 OLD HIGHWAY 51 S |
| City | BRIGHTON |
| State | TN |
| Zip Code | 38011-8025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558492306 | Jenipher E Chaney | Family Medicine | 1880 Old Hwy 51 Suite C, Brighton, TN 38011 | 2007-03-07 |
| 1376583096 | Charles L Porter | Pharmacist | 1880 Old Hwy 51, Brighton, TN 38011 | 2006-06-08 |
| 1679567390 | Brighton Family Medicine | Family Medicine | 1880 Old Hwy 51, Suite C, Brighton, TN 38011 | 2005-09-08 |
| 1467566885 | Brighton Medical Practice | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-08-19 |
| 1033212667 | John Raymond Hughey | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-09-07 |
| 1164594081 | West Clinic PC | Specialist | 240 Grandview Drive, Brighton, TN 38011-4253 | 2006-11-15 |
| 1528364874 | Kimberly Ann Rowland | Registered Nurse | 77 Fannie Dr, Brighton, TN 38011-6287 | 2011-02-03 |
| 1316485733 | Jared Vowell | Specialist/Technologist | 751 Roseland Dr, Brighton, TN 38011-6315 | 2017-02-06 |
| 1326099045 | Charles Michael Putnam | Social Worker | 74 Sanders Dr, Brighton, TN 38011-6501 | 2006-05-15 |
| 1780929349 | Michael Dalen Jaureque | Chore Provider | 159 Hilltop Cir, Brighton, TN 38011-6628 | 2012-12-06 |
| Find all providers in zip 38011 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801027396 | Healthplus Pharmacy of Brighton Inc | Pharmacy | 2305 Genoa Business Park Dr Ste 140, Brighton, MI 48114-7004 | 2009-07-31 |
| 1730384355 | Medizine Man Inc. | Pharmacy | 1610 Prairie Center Pkwy, Suite 2110, Brighton, CO 80601-4000 | 2007-06-15 |
| 1871687202 | Newts Pharmacy LLC | Pharmacy | 1558 Commonwealth Ave, Brighton, MA 02135-5033 | 2006-10-02 |
| 1922107374 | Cvs Pharmacy Inc | Pharmacy | 1927 Beacon St, Brighton, MA 02135-7783 | 2006-09-22 |
| 1326147620 | Cvs Pharmacy Inc | Pharmacy | 427 Washington St, Brighton, MA 02135-2639 | 2006-09-22 |
| 1881706729 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 5757 Whitmore Lake Rd Ste 100, Brighton, MI 48116-1967 | 2006-08-31 |
| 1013027630 | Costco Wholesale Corporation | Pharmacy | 6700 Whitmore Lake Rd, Brighton, MI 48116 | 2006-08-30 |
| 1710226923 | Good Health Pharm Inc. | Pharmacy | 1690 Commonwealth Ave, Brighton, MA 02135-5602 | 2013-02-07 |
| 1922361138 | Medizine Man Inc. | Pharmacy | 1606 Prairie Center Pkwy, Brighton, CO 80601-4004 | 2012-06-21 |
| 1053525097 | Iha Pharmacy Holdings LLC | Pharmacy | 2305 Genoa Business Park Drive, Suite 140, Brighton, MI 48114 | 2007-05-09 |
| Find all providers in BRIGHTON | ||||
Please comment or provide details below to improve the information on CHARLES L PORTER.
| 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.