TENNESSEE CVS PHARMACY LLC (NPI# 1184936106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184936106 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #08427 |
| Practice Address |
6620 Winchester Rd Memphis TN 38115-4336 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollment Woonsocket RI 02895-6146 |
| Practice Telephone | 9013633733 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2012-03-02 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL ID NUMBER | 4443379 | 01 | |
| TN | MEDICAID DME | 1520654 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #08427 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487003877 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11563 Old Nashville Hwy, Smyrna, TN 37167-3525 | 2016-06-07 |
| 1073997177 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2300 Lake Road, Dyersburg, TN 38024-0000 | 2015-07-17 |
| 1184980575 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6670 Stage Road, Bartlett, TN 38134 | 2012-04-10 |
| 1801167408 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3502 Park Avenue, Memphis, TN 38111-5622 | 2012-01-13 |
| 1992076590 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1405 N Highland Ave, Jackson, TN 38301-3496 | 2012-01-13 |
| 1346544921 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 786 N Germantown Pkwy, Cordova, TN 38018-6212 | 2010-12-22 |
| 1497060834 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3171 Lebanon Pike, Nashville, TN 37214-2314 | 2010-08-10 |
| 1568623981 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4058 Franklin Road, Murfreesboro, TN 37128 | 2008-06-18 |
| 1871779892 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1033 Crossing Blvd, Spring Hill, TN 37174 | 2008-01-22 |
| 1780860700 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4570 Frontage Rd Nw, Cleveland, TN 37312-2905 | 2008-01-22 |
| Street Address |
6620 WINCHESTER RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| 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 |
|---|---|---|---|---|
| 1649785908 | Joys Harbor Town Pharmacy | Pharmacy | 103 Harbor Town Sq, Memphis, TN 38103-8884 | 2017-12-08 |
| 1376082123 | Bensons Pharmacy II | Pharmacy | 6005 Park Ave Ste 121b, Memphis, TN 38119-5202 | 2017-02-13 |
| 1932550134 | Dnl Pharmacy LLC | Pharmacy | 2900 Kirby Rd Ste 5, Memphis, TN 38119-8205 | 2016-06-29 |
| 1477915940 | Wal-mart Stores East Lp | Pharmacy | 6727 Raleigh Lagrange Rd, Memphis, TN 38134-7017 | 2016-03-24 |
| 1134463425 | Advantage Pharmacy LLC | Pharmacy | 2175 Business Center Dr Ste 6, Memphis, TN 38134-5628 | 2012-11-27 |
| 1053613851 | Christ Community Health Services Inc | Pharmacy | 5366 Winchester Rd, 5366 Mendenhall Mall, Memphis, TN 38115-4565 | 2010-11-30 |
| 1750533816 | Hemophilia Preferred Care of Memphis Inc | Pharmacy | 6423 Shelby View Dr Ste 104, Memphis, TN 38134 | 2008-10-21 |
| 1548480841 | Wiles Drug Store Inc | Pharmacy | 1635 Union Ave, Memphis, TN 38104 | 2007-04-27 |
| 1437216694 | Methodist Healthcare-memphis Hospitals | Pharmacy | 51 North Dunlap Street, Ground Floor, Memphis, TN 38105 | 2007-01-03 |
| 1275693566 | The Prescription Shop | Pharmacy | 2207 S Lauderdale St, Memphis, TN 38106-7503 | 2006-12-09 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on TENNESSEE CVS PHARMACY LLC.
| 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.