TENNESSEE CVS PHARMACY, L.L.C. (NPI# 1922121110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922121110 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #03206 |
| Practice Address |
2424 N Ocoee St Cleveland TN 37311-3854 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4234737874 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-12-20 |
| 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 NUMBER | 4440208 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #03206 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932424991 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 5055 Stage Rd, Memphis, TN 38128-5033 | 2010-04-02 |
| 1760710370 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9861 Us Highway 64, Arlington, TN 38002-7980 | 2009-11-20 |
| 1851577753 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2398 New Salem Highway, Murfreesboro, TN 37128 | 2008-01-10 |
| 1508065350 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 735 Harding Place, Nashville, TN 37211 | 2007-07-12 |
| 1316000789 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 607 Se Broad St, Murfreesboro, TN 37130-5003 | 2006-12-18 |
| 1396849105 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2415 Parkway, Pigeon Forge, TN 37863-3228 | 2006-09-12 |
| 1679677488 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 417 E Emory Rd, Powell, TN 37849-3518 | 2006-09-12 |
| 1205930013 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9101 Carothers Pkwy, Franklin, TN 37067-6308 | 2006-09-12 |
| 1699878306 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 111 S Hall Rd, Alcoa, TN 37701-2639 | 2006-09-07 |
| 1245333954 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 549 W Main St, Gallatin, TN 37066-3121 | 2006-09-07 |
| Street Address |
2424 N OCOEE ST |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361988 | David Charles Hamill | Pharmacist | 2424 N Ocoee St, Cleveland, TN 37311-3854 | 2020-03-13 |
| 1023505245 | Marissa Lyn Withrow | Nurse Practitioner | 2424 N Ocoee St, Cleveland, TN 37311 | 2018-04-13 |
| 1487907432 | Gregory Ruben Whittle | Pharmacist | 2424 N Ocoee St, Cleveland, TN 37311-3854 | 2012-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| 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 |
|---|---|---|---|---|
| 1629617352 | Ritefyl LLC | Pharmacy | 10414 Saint Clair Ave, Cleveland, OH 44108-1957 | 2019-12-28 |
| 1487211058 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1&2, Cleveland, TN 37311-5868 | 2019-05-20 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1871970004 | Ameriwell Beneficial Community Services | Pharmacy | 9500 Detroit Ave, Cleveland, OH 44102 | 2015-04-27 |
| 1609288976 | Crp Pharmacy LLC | Pharmacy | 10567 Saint Clair Ave, Cleveland, OH 44108-1973 | 2014-05-21 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1093138299 | Signature Health Inc | Pharmacy | 1400 W 25th St, 2nd Floor, Cleveland, OH 44113-3148 | 2014-01-24 |
| 1053667204 | Emmanuel Ventures Limited LLC | Pharmacy | 4127 E 131st St, Miles Supermarket, Cleveland, OH 44105-5563 | 2012-07-25 |
| 1467738732 | Church Square Pharmacy Inc. | Pharmacy | 11201 Shaker Blvd Ste 126, Cleveland, OH 44104-3833 | 2011-10-31 |
| Find all providers in CLEVELAND | ||||
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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.