PUBLIX TENNESSEE, LLC (NPI# 1093287328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093287328 |
| Entity Type | Organization |
| Organization Name | PUBLIX TENNESSEE, LLC |
| Other Organization Name | PUBLIX PHARMACY #1648 |
| Practice Address |
920 Highway 76 Clarksville TN 37043-8456 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9313583789 |
| Practice Fax Number | 9313786136 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2018-12-27 |
| 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 | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1648 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961401 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 750 Winfield Dunn Parkway, Suite 100, Sevierville, TN 37876 | 2020-08-05 |
| 1578173944 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1111 Gallatin Ave, Nashville, TN 37206-3201 | 2020-07-31 |
| 1730727843 | Publix Tennessee, LLC | Pharmacy | 2223 8th Ave S, Nashville, TN 37204-2205 | 2019-12-19 |
| 1245885755 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1010 Dr Martin L King Jr Blvd, Nashville, TN 37203-5740 | 2019-08-02 |
| 1629561352 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1265 Interstate Dr Ste 111, Cookeville, TN 38501-5197 | 2018-06-07 |
| 1588141899 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1600 N Jackson St Ste 340, Tullahoma, TN 37388-2471 | 2018-07-20 |
| 1528304482 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 11656 Parkside Dr, Knoxville, TN 37934-2659 | 2012-12-21 |
| Street Address |
920 HIGHWAY 76 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1457981813 | Zoren Pharmacy & Gifts LLC | Pharmacy | 588 Fire Station Rd, Clarksville, TN 37043-4085 | 2020-01-23 |
| 1699247783 | Hilltop Pharmacy, LLC | Pharmacy | 400 Highway 149, Clarksville, TN 37040-7237 | 2018-12-29 |
| 1215426150 | Caresourcerx LLC | Pharmacy | 1849d Madison St, Clarksville, TN 37043-4903 | 2018-05-07 |
| 1972736320 | Zaver Pharmaceuticals Inc. | Pharmacy | 226-c Dover Road, Clarksville, TN 37042-4155 | 2009-09-02 |
| 1598808859 | Houston, Dickerson, and Dickerson | Pharmacy | 502 S Crawford St, Clarksville, AR 72830-4006 | 2007-02-15 |
| 1043395270 | Cvs Pharmacy Inc | Pharmacy | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2006-10-26 |
| 1740295856 | Walgreen Co | Pharmacy | 220 E Lewis and Clark Pkwy, Clarksville, IN 47129-1724 | 2006-07-29 |
| 1891358818 | Clarksville Pharmacy LLC | Pharmacy | 1312 W Main St, Clarksville, TX 75426-3525 | 2019-04-16 |
| 1700302981 | Walgreen Co | Pharmacy | 1493 Madison St, Clarksville, TN 37040-3845 | 2017-08-18 |
| 1457709024 | Rite Aid | Pharmacy | 1128 Fort Campbell Blvd, Clarksville, TN 37042-6450 | 2016-05-24 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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.