1154887271 NPI number — APOTHECO PHARMACY NASHVILLE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154887271 NPI number — APOTHECO PHARMACY NASHVILLE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APOTHECO PHARMACY NASHVILLE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154887271
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
788 MORRIS TURNPIKE
Provider Second Line Business Mailing Address:
FL 3
Provider Business Mailing Address City Name:
SHORT HILLS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07078
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-869-2820
Provider Business Mailing Address Fax Number:
973-869-2822

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3443 DICKERSON PIKE
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-850-7969
Provider Business Practice Location Address Fax Number:
615-777-3322
Provider Enumeration Date:
02/13/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AMIN
Authorized Official First Name:
ANUSH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & OFFICER
Authorized Official Telephone Number:
973-869-2820

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)