PROFESSIONAL CARE SERVICES OF WEST TN INC (NPI# 1720145717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720145717 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE SERVICES OF WEST TN INC |
| Other Organization Name | PCS COVINGTON |
| Practice Address |
1997 Highway 51 S Covington TN 38019-3630 |
| Practice Telephone | 9014753586 |
| Practice Fax Number | 9013131153 |
| Mailing Telephone | 9014753586 |
| Mailing Fax Number | 9013131153 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | TOM GRIFFIN (CONTROLLER) |
| Authorized Official Telephone | 9016221688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
189 | TN | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3722813 | 05 | |
| PK | 2088675 | 01 |
| Other Name | Type Code |
|---|---|
| PCS COVINGTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811054521 | Professional Care Services of West Tn Inc | Pharmacy | 403 Commerce St, Ripley, TN 38063-2060 | 2007-01-02 |
| 1396801007 | Professional Care Services of West Tn Inc | Pharmacy | 12615 S Main, Somerville, TN 38068-1673 | 2006-12-28 |
| 1144386855 | Professional Care Services of West Tn Inc | Pharmacy | 5281 Navy Rd, Millington, TN 38053-2535 | 2006-12-28 |
| 1528124237 | Professional Care Services of West Tn Inc | Pharmacy | 2380 Henry St, Dyersburg, TN 38024-1884 | 2006-12-28 |
| Street Address |
1997 HIGHWAY 51 S |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351215 | Professional Care Services of West Tn, Inc. | Clinic/Center | 1997 Highway 51 S, Covington, TN 38019-3630 | 2005-07-22 |
| 1710542543 | Stephanie Rogers | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2019-05-07 |
| 1548727522 | Christy Taylor Goforth | Nurse Practitioner | 1997 Highway 51 S, Covington, TN 38019-3630 | 2019-02-26 |
| 1396227963 | Shantell Tremble | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2018-08-30 |
| 1033691696 | Patricia Lynn Bradley | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2018-08-30 |
| 1134627961 | Molly Tzila Rafaely | Counselor | 1997 Highway 51 S, Covington, TN 38019-3630 | 2018-01-26 |
| 1174044812 | Anthony Graves Huffman | Social Worker | 1997 Highway 51 S, Covington, TN 38019-3630 | 2017-07-03 |
| 1306387196 | Kristen Murray | Case Manager/Care Coordinator | 1997 Highway 51 S, Covington, TN 38019-3630 | 2017-03-14 |
| 1346788700 | Leslie Corinne Smith | Case Manager/Care Coordinator | 1997 Highway 51 S, Covington, TN 38019-3630 | 2017-02-06 |
| 1295289486 | Latorie Polk | Psychologist | 1997 Highway 51 S, Covington, TN 38019-3630 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1992846893 | Omnicare Inc | Pharmacy | 100 E Rivercenter Blvd, Suite 1600, Covington, KY 41011-1555 | 2007-02-12 |
| 1679132393 | Layton Pharmacy L.L.C. | Pharmacy | 70457 Highway 21 Ste 118, Covington, LA 70433-8155 | 2019-06-06 |
| 1043715089 | M and W Covington LLC | Pharmacy | 1107 S Tyler St, Covington, LA 70433-2327 | 2018-03-29 |
| 1427411313 | Paul J Ruwe Inc | Pharmacy | 434 Scott St, Covington, KY 41011-2342 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
| 1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
| 1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
| 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.