DYERSBURG HEALTH
NPI 1043282338
Pharmacy - Community/Retail Pharmacy in Dyersburg, TN

Q: What is Dyersburg Health's NPI number?

The NPI number for Dyersburg Health is 1043282338. It was assigned to this organization in the NPPES registry on February 2, 2006. The provider is doing business as Dyersburg Employee Pharmacy and West Tennessee Healthcare Dyersburg Hospital.

Q: What is Dyersburg Health's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Dyersburg Health was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2006CLIA 44D0313396 · Accreditation

400 E TICKLE ST, DYERSBURG, TN 38024(731) 287-2400(731) 285-9545 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2025, Aug 29, 2018, Aug 23, 2018 and 4 more (7 updates tracked since 2017).

On this page

About Dyersburg Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYERSBURG HEALTH (NPI 1043282338), doing business as Dyersburg Employee Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Dyersburg, Tennessee and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Tina Prescott, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1043282338

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameDYERSBURG HEALTH

Location Address400 E TICKLE STDyersburg, TN 38024-3120

Mailing Address400 E Tickle StDyersburg, TN 38024-3120 · (731) 287-2400 · Fax (731) 285-9545

Phone(731) 287-2400

Fax(731) 285-9545

Organization SubpartNo

Authorized OfficialTina PrescottPresident And Ceo · (731) 541-5000

Enumeration DateFebruary 2, 2006

Last NPPES UpdateJune 23, 20257 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1043282338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 0000000030 (TN)

400 E TICKLE ST, Dyersburg, TN 38024

Open in Google Maps ↗

Other Names 2

Doing Business AsDyersburg Employee Pharmacy

Doing Business AsWest Tennessee Healthcare Dyersburg Hospital

Other Identifiers 6

Medicaid010567204MO

Medicaid0440072TN

Medicaid044-0072TN

Medicaid136765TN

Other4048512Bcbs

Medicaid25283TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dyersburg Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTennesseeEnrollment IDO20180803001841Part A · HospitalDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 44D0313396

Dyersburg Health Dba West Tennessee Healthcare Dyersburg Hospital · Dyersburg, TN

Active · expires Feb 27, 2027

CLIA Number44D0313396

Laboratory TypeHospital

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Mark P. Burton

Laboratory Phone(731) 287-2400

Laboratory LocationDyersburg Health Dba West Tennessee Healthcare Dyersburg Hospital400 East Tickle Street, Dyersburg, TN 38024

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYERSBURG HBP MEDICAL GROUP LLC

Emergency Medicine