Healthcare Provider Details

I. General information

NPI: 1437053675
Provider Name (Legal Business Name): SIMPLE RX TN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 NASHVILLE HWY
LEWISBURG TN
37091-2236
US

IV. Provider business mailing address

1173 NASHVILLE HWY
LEWISBURG TN
37091-2236
US

V. Phone/Fax

Practice location:
  • Phone: 202-213-2339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEXANDER MOORE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-213-2339