1336150986 NPI number — RM PHARMACY SERVICES, INC

Table of content: (NPI 1336150986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336150986 NPI number — RM PHARMACY SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RM PHARMACY SERVICES, INC
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:
1336150986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
604 E EMORY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POWELL
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37849-3521
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-947-5235
Provider Business Mailing Address Fax Number:
865-947-8358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
604 E EMORY ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POWELL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37849-3521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-947-5235
Provider Business Practice Location Address Fax Number:
865-947-8358
Provider Enumeration Date:
08/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COX
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
865-922-5234

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 4220 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4438722 . This is a "OTHER ID NUMBER" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com