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City Drug Store of Parsons, Inc

NPI 1710979976ActiveOrganization· Pharmacy· Parsons, TN

Pharmacy in Parsons, Tennessee, registered in NPPES in August 2005. The authorized official on file is Kimothy Phillips, PHARMD DPH, President Owner. Medicare paid $7,542 for services to 58 patients in 2024.

Overview

NPI1710979976
StatusActive
Entity typeOrganization
NPI issuedAug 15, 2005
Last updated in NPPESMar 2, 2026
Certified by providerMar 2, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X1065TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (TN); Part B Supplier - Mass Immunization (Roster Biller Only) (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients58
Services billed126 across 8 procedure codes
Paid by Medicare$7,542

Medicare sources and data years