Provider Demographics
NPI:1891231734
Name:RAMS PHARMACY LLC
Entity Type:Organization
Organization Name:RAMS PHARMACY LLC
Other - Org Name:RAMS PHARMACY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SRINIVASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-766-5426
Mailing Address - Street 1:1210 HAZELWOOD DR STE D
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3964
Mailing Address - Country:US
Mailing Address - Phone:615-766-5426
Mailing Address - Fax:615-984-7673
Practice Address - Street 1:1210 HAZELWOOD DR STE D
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3964
Practice Address - Country:US
Practice Address - Phone:615-766-5426
Practice Address - Fax:615-984-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5930333600000X
3336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2166967OtherPK
TNQ045848Medicaid