SUGARSPOON, LLC
NPI 1679449292
Pharmacy - Community/Retail Pharmacy in Mason, TN

Active since October 13, 2025CLIA 44D2340500 · Waiver
12151 MAIN ST, MASON, TN 38049(901) 698-8380 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sugarspoon, Llc NPPES

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

SUGARSPOON, LLC (NPI 1679449292), doing business as Sugarspoon Hometown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mason, Tennessee and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Keneko Claybon, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1679449292
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUGARSPOON, LLC
Location Address12151 MAIN STMason, TN 38049-7049
Mailing Address291 W Harmony DrMason, TN 38049-5704 · (901) 481-8107
Organization SubpartNo
Authorized OfficialKeneko ClaybonPharmacist · (901) 481-8107
Enumeration DateOctober 13, 2025
Last NPPES UpdateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
NPI 1679449292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
12151 MAIN ST, Mason, TN 38049

Other Names 1

Doing Business AsSugarspoon Hometown Pharmacy

Other Identifiers 1

MedicaidQ109071TN

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 Waiver 44D2340500

Sugarspoon Hometown Pharmacy · Mason, TN
Active · expires Mar 17, 2028
CLIA Number44D2340500
Laboratory TypePharmacy
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorKeneko T. Claybon
Laboratory Phone(901) 698-8380
Laboratory LocationSugarspoon Hometown Pharmacy12151 Main Street, Mason, TN 38049
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sugarspoon, LLC's NPI number?

The NPI number for Sugarspoon, LLC is 1679449292. It was assigned to this organization in the NPPES registry on October 13, 2025. The provider is doing business as SugarSpoon Hometown Pharmacy.

Where is Sugarspoon, LLC located?

Sugarspoon, LLC is located at 12151 Main St, Mason, TN 38049. The listed phone number is (901) 698-8380.

What is Sugarspoon, LLC's specialty?

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

Does Sugarspoon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2340500) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sugarspoon, LLC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.