TENNESSEE CVS PHARMACY LLC (NPI# 1760585467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760585467 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03713 |
| Practice Address |
1940 South Roan St Johnson City TN 37601 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4239289246 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-11-03 |
| 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 | 921 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4403729 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03713 | 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 |
1940 SOUTH ROAN ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1396206140 | Tennessee Choice Pharmacy LLC | Pharmacy | 525 W Oakland Ave Ste 5, Johnson City, TN 37604-1673 | 2019-03-26 |
| 1801026638 | Txex Med LLC | Pharmacy | 405 Hwy 281 South, Johnson City, TX 78636 | 2009-07-14 |
| 1568599306 | Rowan Enterprises Inc | Pharmacy | 4729 N Roan St, Ste 2, Johnson City, TN 37615-3959 | 2007-02-28 |
| 1033280052 | Apothecary Inc | Pharmacy | 1301 N Roan St, Johnson City, TN 37601-3941 | 2006-11-13 |
| 1881628527 | Kroger Limited Partnership I | Pharmacy | 112 Sunset Dr, Johnson City, TN 37604-2503 | 2006-07-10 |
| 1639148687 | Wegmans Food Markets, Inc. | Pharmacy | 650 Harry L Dr, Attn: Pharmacy Manager, Johnson City, NY 13790-1146 | 2006-03-14 |
| 1053922195 | Nathaniel Wilson | Pharmacy | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2020-08-12 |
| 1821392663 | United Health Services Hospitals Inc | Pharmacy | 52 Harrison St, Johnson City, NY 13790-2120 | 2011-01-10 |
| 1972518520 | Lb Prescription Enterprises Inc | Pharmacy | 711 Main St, Johnson City, NY 13790-1743 | 2006-07-30 |
| 1033143789 | Kroger Limited Partnership I | Pharmacy | 1805 W State of Franklin Rd, Johnson City, TN 37604-8801 | 2006-07-10 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.