TENNESSEE CVS PHARMACY LLC (NPI# 1124040878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124040878 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16709 |
| Practice Address |
11100 Parkside Dr Knoxville TN 37934-1960 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 8656758180 |
| Practice Fax Number | 8656758180 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
3771 | TN | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2093239 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16709 | 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 |
11100 PARKSIDE DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902284235 | Kristen Stafford | Pharmacist | 11100 Parkside Dr, Knoxville, TN 37934-1960 | 2015-05-06 |
| 1366844458 | Terry Lynn Johnson II | Pharmacist | 11100 Parkside Dr, T-1370, Knoxville, TN 37934-1960 | 2014-09-19 |
| 1609154657 | Walter Stephen Stewart | Pharmacist | 11100 Parkside Dr, Knoxville, TN 37934-1960 | 2011-07-25 |
| 1235427956 | Ashley Martin Foster | Pharmacist | 11100 Parkside Dr, Target Pharmacy T-1370, Knoxville, TN 37934-1960 | 2011-07-14 |
| 1396033312 | Jamie Falana Salter | Pharmacist | 11100 Parkside Dr, T-1370, Knoxville, TN 37934-1960 | 2011-07-11 |
| 1952696577 | Kristin E Lammers | Pharmacist | 11100 Parkside Dr, Knoxville, TN 37934-1960 | 2011-06-11 |
| 1699069344 | Kathryn Curtis | Pharmacist | 11100 Parkside Dr, Knoxville, TN 37934-1960 | 2011-05-30 |
| 1639220486 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11100 Parkside Dr, Knoxville, TN 37934-1960 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| 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 |
|---|---|---|---|---|
| 1497151252 | Compounding Pharmacy of America | Pharmacy | 6216 Highland Place Way Ste 201, Knoxville, TN 37919-4068 | 2014-11-06 |
| 1942540828 | University Health System Inc | Pharmacy | 1924 Alcoa Hwy Ste Np100, Knoxville, TN 37920-1511 | 2013-02-28 |
| 1316215981 | Belew Drugs Washington Pike Inc | Pharmacy | 5908 Washington Pike Ste 102, Knoxville, TN 37918-7100 | 2011-12-09 |
| 1760717896 | Tennessee Cancer Specialists Pllc | Pharmacy | 1415 Old Weisgarber Rd Ste 200, Knoxville, TN 37909-1341 | 2009-10-07 |
| 1104057579 | Advanced Specialty Pharmacy of Knoxville, LLC | Pharmacy | 9947 Kingston Pike, Knoxville, TN 37922-6923 | 2009-08-04 |
| 1730221243 | B & P, Inc. | Pharmacy | 815 Merchant Rd, Knoxville, TN 37912-3817 | 2007-02-12 |
| 1922158245 | Kenton Howard Page | Pharmacy | 5034 N Broadway St Ste 220, Knoxville, TN 37918-2371 | 2007-01-11 |
| 1215008230 | Longs Kingston Pike Drugs Inc | Pharmacy | 4604 Kingston Pike, Knoxville, TN 37919-5230 | 2006-11-13 |
| 1265520084 | Walker & Wyatt, LLC | Pharmacy | 4206 Chapman Highway, Knoxville, TN 37920 | 2006-10-10 |
| 1881609485 | Total Health | Pharmacy | 7259 Oak Ridge Hwy, Knoxville, TN 37931-2614 | 2006-07-30 |
| Find all providers in KNOXVILLE | ||||
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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.