SOUTHERN FAMILY MARKET
NPI 1881787257
Pharmacy - Community/Retail Pharmacy in Manchester, TN
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 44D2287740
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-16-2027
About SOUTHERN FAMILY MARKET
This page provides the complete NPI Profile along with additional information for Southern Family Market, a provider established in Manchester, Tennessee operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1881787257 assigned on September 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 0000003474 (TN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Southern Family Market. The authorized official of this NPI record is Mark Tow (Director Of Pharmacy)
- NPI
- 1881787257 Verify this NPI
- Provider Legal Name
- SOUTHERN FAMILY MARKETS LLC
- Other Organization Name
- SOUTHERN FAMILY MARKET
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2050 HILLSBORO BLVD MANCHESTER, TN 37355
- Location Phone
- (931) 723-1849
- Location Fax
- (931) 723-4641
- Mailing Address
- 2050 HILLSBORO BLVD MANCHESTER, TN 37355
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 0000003474
- License State
- TN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4438948 | MEDICAID (05) | TN | |
| 4438948 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2287740
- Facility Type
- Physician Office
- Certificate Effective Date
- August 17, 2025
- Certificate Expiration Date
- August 16, 2027
- Laboratory Director
- ASHLEY DE WITT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Family Market to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881787257, enumerated as an "organization" on September 30, 2006.
The provider is located at 2050 HILLSBORO BLVD MANCHESTER, TN 37355 and the phone number is (931) 723-1849.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
