PUBLIX TENNESSEE LLC (NPI# 1477065712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477065712 |
| Entity Type | Organization |
| Organization Name | PUBLIX TENNESSEE LLC |
| Other Organization Name | PUBLIX PHARMACY #1621 |
| Practice Address |
7326 Mccutcheon Rd Chattanooga TN 37421 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 4235086602 |
| Practice Fax Number | 4234028419 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | DAIN RUSK (VP PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | 6264 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175368 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1621 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681081 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2315 E Andrew Johnson Hwy, Greeneville, TN 37745-0996 | 2016-10-27 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1588903439 | Publix Tennessee LLC | Pharmacy | 2324 Lebanon Pike, Nashville, TN 37214-2411 | 2013-02-12 |
| 1407103153 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 1490 Tiny Town Rd, Clarksville, TN 37042-7201 | 2012-08-13 |
| 1578825691 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2010 Town Center Blvd, Knoxville, TN 37922-6677 | 2012-06-14 |
| 1255638573 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7014 City Center Way, Fairview, TN 37062-6004 | 2011-02-23 |
| 1063729242 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2650 New Salem Hwy, Murfreesboro, TN 37128-5265 | 2010-09-09 |
| 1689992794 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 6614 Charlotte Pike, Nashville, TN 37209-4202 | 2010-05-13 |
| 1750610515 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 665 South Mt.juliet Rd., Mt. Juliet, TN 37122 | 2009-12-08 |
| 1174750913 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 3532 Murfreesboro Pike, Antioch, TN 37013-2210 | 2009-06-19 |
| Street Address |
7326 MCCUTCHEON RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522485 | On Site Rx Inc | Pharmacy | 3074 Hickory Valley Rd Bldg 229, Chattanooga, TN 37421-1273 | 2020-03-04 |
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1982952917 | Carestar Pharmacy | Pharmacy | 6106 Shallowford Rd Ste 108, Chattanooga, TN 37421-2280 | 2012-08-23 |
| 1548584634 | Eastside Pharmacy Inc | Pharmacy | 6857 Lee Hwy, Chattanooga, TN 37421-6406 | 2010-03-18 |
| 1538342076 | Ross Enterprise Inc | Pharmacy | 2001 E Third St Suite C, Chattanooga, TN 37404-2610 | 2007-12-06 |
| 1417095407 | Custom Compounding Pharmacy LLC | Pharmacy | 3816 Ringgold Rd, Chattanooga, TN 37412-1640 | 2007-02-02 |
| 1699831966 | Deems S Riddle IIi | Pharmacy | 4335 Ringgold Rd, Chattanooga, TN 37412-2740 | 2006-12-29 |
| 1952496804 | Pulmonaire Service Pharmacy, Inc. | Pharmacy | 821 Mccallie Ave, Chattanooga, TN 37403-2613 | 2006-10-04 |
| 1215030911 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5501 Brainerd Rd, Chattanooga, TN 37411-5309 | 2006-09-07 |
| 1306949003 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5011 State St # A, Chattanooga, TN 37407-3519 | 2006-09-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on PUBLIX TENNESSEE 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.