OrganizationActive
Nuckolls Drug Stores, Inc
NPI 1013068220 · Community/Retail Pharmacy · Bolivar, TN
Nuckolls Drug Stores, Inc is a Community/Retail Pharmacy organization in Bolivar, TN (NPI 1013068220).
Provider details
- NPI number
- 1013068220
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Freeman Baird, President(731) 658-2941
- License
- 1253 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
407 W Lafayette St
Bolivar, TN 38008-2651
Phone: (731) 658-2941
Fax: (731) 658-1758
Street-level locationGet directions
Mailing address
407 W Lafayette St
Bolivar, TN 38008-2651
Other names (DBA / former)
- Doing business as
- Medical Arts Pharmacy
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2008-02-14
Frequently asked questions
- What is Nuckolls Drug Stores, Inc's NPI number?
- Nuckolls Drug Stores, Inc's National Provider Identifier (NPI) is 1013068220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nuckolls Drug Stores, Inc?
- Nuckolls Drug Stores, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Nuckolls Drug Stores, Inc located?
- Nuckolls Drug Stores, Inc's practice location on file with NPPES is 407 W Lafayette St, Bolivar, TN 38008-2651.
- What is Nuckolls Drug Stores, Inc's phone number?
- The practice phone number listed in the NPPES registry for Nuckolls Drug Stores, Inc is (731) 658-2941.
- Who is the authorized official for Nuckolls Drug Stores, Inc?
- The authorized official listed on Nuckolls Drug Stores, Inc's NPPES record is Freeman Baird, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nuckolls Drug Stores, Inc's NPI active?
- Yes — Nuckolls Drug Stores, Inc's NPI (1013068220) is active in the NPPES registry as of the last update on 2008-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.