Provider Demographics
NPI:1073652376
Name:PHARMACIST HOME MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:PHARMACIST HOME MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ARMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-836-6387
Mailing Address - Street 1:226 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2438
Mailing Address - Country:US
Mailing Address - Phone:931-526-1055
Mailing Address - Fax:931-526-1053
Practice Address - Street 1:226 N OAK AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2438
Practice Address - Country:US
Practice Address - Phone:931-526-1055
Practice Address - Fax:931-526-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000604332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3125115OtherBLUE CROSS BLUE SHIELD
TN3125115OtherTN CARE SELECT
TN1452524Medicaid
TN3125115OtherBLUE CROSS BLUE SHIELD