Healthcare Provider Details

I. General information

NPI: 1891231734
Provider Name (Legal Business Name): RAMS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 HAZELWOOD DR STE D
SMYRNA TN
37167-3964
US

IV. Provider business mailing address

1210 HAZELWOOD DR STE D
SMYRNA TN
37167-3964
US

V. Phone/Fax

Practice location:
  • Phone: 615-766-5426
  • Fax: 615-984-7676
Mailing address:
  • Phone: 615-766-5426
  • Fax: 615-984-7673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number5930
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAMESH SRINIVASAN
Title or Position: RPH/OWNER
Credential:
Phone: 615-766-5426