Healthcare Provider Details

I. General information

NPI: 1770414526
Provider Name (Legal Business Name): ADVANCED RX PHARMACY OF TENNESSEE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 DONELSON PIKE STE A15
NASHVILLE TN
37217-2990
US

IV. Provider business mailing address

1400 DONELSON PIKE STE A15
NASHVILLE TN
37217-2990
US

V. Phone/Fax

Practice location:
  • Phone: 615-866-6292
  • Fax:
Mailing address:
  • Phone: 615-866-6292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BYRD
Title or Position: PIC
Credential:
Phone: 615-866-6292