Healthcare Provider Details

I. General information

NPI: 1215176854
Provider Name (Legal Business Name): PRUITT'S DISCOUNT PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 BRADYVILLE PIKE
MURFREESBORO TN
37130-5634
US

IV. Provider business mailing address

1107 BRADYVILLE PIKE
MURFREESBORO TN
37130-5634
US

V. Phone/Fax

Practice location:
  • Phone: 615-562-6337
  • Fax: 615-369-8759
Mailing address:
  • Phone: 615-562-6337
  • Fax: 615-369-8759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5005
License Number StateTN

VIII. Authorized Official

Name: DR. SHAWN D PRUITT SR.
Title or Position: OWNER / PIC
Credential: PHARM.D.
Phone: 615-562-6337