Organization
PHIPPS PHARMACY INC
Active
Organization
PHIPPS PHARMACY INC
Active
Other names
PHIPPS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY R PHIPPS JR. PHARMD (PRESIDENT AND CEO)
(731) 352-0820
Entity
Organization
Contact information
Practice address
15385 HIGHLAND DR, MC KENZIE, TN 38201-2501
(731) 352-0820
(731) 352-2848
Mailing address
15385 HIGHLAND DR, MC KENZIE, TN 38201-2501
(731) 352-0820
(731) 352-2848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3519
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454465
—
TN
01
—
4434281
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/29/2006
Last updated
09/10/2025
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