| NPI | 1376609255 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-28 |
| Last Updated | 2013-04-25 |
| Authorized Official | Robert Mitchell OWNER Phone: 7316455591 |
| Mailing Address | 133 W Court Ave Selmer, TN 38375-2130 United States 📍 View Map |
| Primary Practice Address | 133 W Court Ave Selmer, TN 38375-2130 United States Phone: (731) 645-5391 | Fax: (731) 645-5391 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2096004 | PK |
| MEDICAID | TN | 3519165 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | TN | 1107 |
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About NPI 1376609255
Robert D Mitchell is an organization registered in the CMS NPPES NPI Registry with NPI number 1376609255. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Selmer, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1376609255?
NPI 1376609255 belongs to Robert D Mitchell, a Pharmacy, Community/Retail Pharmacy in Selmer, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1376609255 active?
The current status of NPI 1376609255 in the NPPES registry is Active. The record was last updated on 2013-04-25.
What specialty is NPI 1376609255?
NPI 1376609255 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 1376609255?
You can verify NPI 1376609255 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 1376609255?
The primary practice address on file for NPI 1376609255 is 133 W Court Ave, Selmer, TN 38375-2130. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1376609255 issued?
NPI 1376609255 was first issued (enumerated) on 2006-12-28. The NPPES record was last updated on 2013-04-25.
Practice Location Map
Robert D Mitchell is located at 133 W Court Ave, Selmer, 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 Robert D Mitchell. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1376609255. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 1107 | TN |