TENNESSEE CVS PHARMACY LLC (NPI# 1417050121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417050121 |
Entity Type | Organization |
Organization Name | TENNESSEE CVS PHARMACY LLC |
Other Organization Name | CVS PHARMACY #05671 |
Practice Address |
103 Foothills Mall Dr Maryville TN 37801-5513 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 8659823803 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2014-05-23 |
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 | 464 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 4418566 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY #05671 | 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 |
1184936106 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6620 Winchester Rd, Memphis, TN 38115-4336 | 2010-07-07 |
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 |
Street Address |
103 FOOTHILLS MALL DR |
City | MARYVILLE |
State | TN |
Zip Code | 37801-5513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508485517 | Kirstyn Houseman | Pharmacist | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2020-04-09 |
1376025056 | Miranda Leanne Allen | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2018-08-30 |
1689195927 | Ariel P Stakely | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2017-06-27 |
1437519873 | Joshua Ray Hilton | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2016-02-27 |
1962842278 | Stephanie Michelle Green | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2013-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
Find all providers in zip 37801 |
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 |
---|---|---|---|---|
1952312530 | Blount Discount Pharmacy Inc | Pharmacy | 152 Bmh Physicians Office Bldg, Maryville, TN 37804-5902 | 2006-08-10 |
1043237407 | K Va T Food Stores Inc | Pharmacy | 2135 E Broadway Ave, Maryville, TN 37804-3034 | 2006-07-15 |
1750925079 | Health Management Zone Inc. | Pharmacy | 2700 N Center St, Maryville, IL 62062-5624 | 2019-10-30 |
1194183467 | M Rogers Inc & Subsidiary | Pharmacy | 125 E South Ave, Maryville, MO 64468-2669 | 2016-02-02 |
1144251141 | K Mart Corp | Pharmacy | 945 Mccammon Ave, Maryville, TN 37801-3958 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
1063027258 | Aspire Pharmacy LLC | Pharmacy | 907 Rivergate Pkwy # E9, Goodlettsville, TN 37072-2324 | 2020-09-14 |
1003436049 | Frances Freeman | Pharmacy | 502 Maplewood Dr, Greenbrier, TN 37073-4638 | 2020-04-20 |
1740809292 | Kerri Elizabeth Jones | Pharmacy | 404 Red Cedar Branch Rd, Kingsport, TN 37664-5049 | 2020-04-14 |
1073149548 | Cordant Pharmacy Tennessee, LLC | Pharmacy | 640 Spence Ln Ste 220, Nashville, TN 37217-1278 | 2020-03-17 |
1538793567 | Fpm LLC | Pharmacy | 6078 S 1st St, Milan, TN 38358-3131 | 2020-02-28 |
1730727843 | Publix Tennessee, LLC | Pharmacy | 2223 8th Ave S, Nashville, TN 37204-2205 | 2019-12-19 |
1447897483 | Palmer Drug, LLC | Pharmacy | 9971 Sr 56, Coalmont, TN 37313-3731 | 2019-12-10 |
1013553155 | Vanderbilt University Medical Center | Pharmacy | 1211 Medical Center Dr # 2906, Nashville, TN 37232-0004 | 2019-11-25 |
1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
Find all providers with the same taxonomy |
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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.