| NPI | 1194748566 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-25 |
| Last Updated | 2019-01-29 |
| Authorized Official | Teneal Jenkins OWNER Phone: 9312680233 |
| Mailing Address | Po Box 65 Gainesboro, TN 38562-0065 United States Phone: (931) 268-0233 | Fax: (931) 268-2183 📍 View Map |
| Primary Practice Address | 101 West Gore Ave Gainesboro, TN 38562 United States Phone: (931) 268-0233 | Fax: (931) 268-2183 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 4400557 | NCPDP Provider Identification Number |
| MEDICAID | TN | 4400557 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | TN | 0000000378 |
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About NPI 1194748566
Anderson & Haile Drug Store is an organization registered in the CMS NPPES NPI Registry with NPI number 1194748566. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Gainesboro, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194748566?
NPI 1194748566 belongs to Anderson & Haile Drug Store, a Pharmacy, Community/Retail Pharmacy in Gainesboro, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194748566 active?
The current status of NPI 1194748566 in the NPPES registry is Active. The record was last updated on 2019-01-29.
What specialty is NPI 1194748566?
NPI 1194748566 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194748566?
You can verify NPI 1194748566 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194748566?
The primary practice address on file for NPI 1194748566 is 101 West Gore Ave, Gainesboro, TN 38562. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194748566 issued?
NPI 1194748566 was first issued (enumerated) on 2006-07-25. The NPPES record was last updated on 2019-01-29.
Practice Location Map
Anderson & Haile Drug Store is located at 101 West Gore Ave, Gainesboro, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Anderson & Haile Drug Store. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1194748566. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 0000000378 | TN |