TENNESSEE CVS PHARMACY, L.L.C. (NPI# 1013010719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013010719 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #06438 |
| Practice Address |
903 Memorial Blvd Springfield TN 37172-2932 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6153848481 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1727 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4413186 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06438 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932424991 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 5055 Stage Rd, Memphis, TN 38128-5033 | 2010-04-02 |
| 1760710370 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9861 Us Highway 64, Arlington, TN 38002-7980 | 2009-11-20 |
| 1851577753 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2398 New Salem Highway, Murfreesboro, TN 37128 | 2008-01-10 |
| 1508065350 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 735 Harding Place, Nashville, TN 37211 | 2007-07-12 |
| 1922121110 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2424 N Ocoee St, Cleveland, TN 37311-3854 | 2007-04-10 |
| 1316000789 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 607 Se Broad St, Murfreesboro, TN 37130-5003 | 2006-12-18 |
| 1396849105 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2415 Parkway, Pigeon Forge, TN 37863-3228 | 2006-09-12 |
| 1679677488 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 417 E Emory Rd, Powell, TN 37849-3518 | 2006-09-12 |
| 1205930013 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9101 Carothers Pkwy, Franklin, TN 37067-6308 | 2006-09-12 |
| 1699878306 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 111 S Hall Rd, Alcoa, TN 37701-2639 | 2006-09-07 |
| Street Address |
903 MEMORIAL BLVD |
| City | SPRINGFIELD |
| State | TN |
| Zip Code | 37172-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432612 | Shawn Cooke | Nurse Practitioner | 903 Memorial Blvd, Springfield, TN 37172-2932 | 2019-11-27 |
| 1578097390 | Katherine Cummings | Nurse Practitioner | 903 Memorial Blvd, Springfield, TN 37172-2932 | 2017-04-18 |
| 1588010110 | Leah Kothlow | Nurse Practitioner | 903 Memorial Blvd, Springfield, TN 37172-2932 | 2016-05-12 |
| 1649631169 | Kimberly Moore Ezell | Nurse Practitioner | 903 Memorial Blvd, Springfield, TN 37172-2932 | 2016-03-10 |
| 1194118596 | Crystal Lallathin | Pharmacist | 903 Memorial Blvd, Springfield, TN 37172-2932 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
| Find all providers in zip 37172 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326572215 | Kyrielynn LLC | Pharmacy | 4923 Security Dr, Springfield, OH 45503-5651 | 2017-04-18 |
| 1386016327 | Wal-mart Stores East Lp | Pharmacy | 444 W Grand St, Springfield, MO 65807-1406 | 2015-10-29 |
| 1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
| 1558606327 | Niemann Foods Inc | Pharmacy | 210 E Carpenter St, Springfield, IL 62702-5128 | 2012-12-05 |
| 1982957403 | Independence Holding Co LLC | Pharmacy | 201 N 5th St, Springfield, IL 62701-1001 | 2012-10-22 |
| 1235426057 | Holistic Pharmacy Services Inc | Pharmacy | 133 E North Grand Ave, Springfield, IL 62702-3859 | 2011-06-30 |
| 1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
| 1790006724 | Hometown Pharmacy LLC | Pharmacy | 27118 Highway 42, Springfield, LA 70462-7979 | 2010-06-14 |
| 1861638314 | Jmc Pharmacies, LLC. | Pharmacy | 2103 E Rockhurst St Ste 108, Springfield, MO 65802-6501 | 2009-01-05 |
| 1649331042 | Cr Springfield, LLC | Pharmacy | 1050 Upper Valley Pike, Springfield, OH 45504-4016 | 2006-12-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 37172 |
Please comment or provide details below to improve the information on TENNESSEE CVS PHARMACY, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.