BEVERLY PARK PHARMACY (NPI# 1174691901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174691901 |
| Entity Type | Organization |
| Organization Name | BEVERLY PARK PHARMACY |
| Practice Address |
5321 Beverly Park Cir Knoxville TN 37918-9253 |
| Practice Telephone | 8652464034 |
| Practice Fax Number | 8652464081 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY STEVENS (DIR OF PHCY) |
| Authorized Official Telephone | 8652464034 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 4030 | TN | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4437566 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4437566 | 01 |
| Street Address |
5321 BEVERLY PARK CIR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-9253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649359134 | Danene Lisa Mitchell | Physical Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2006-11-03 |
| 1861051674 | Katherine Alaine Burns | Occupational Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-06-06 |
| 1679132336 | Rebecca Fay Ritter | Occupational Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-06-06 |
| 1487113759 | Tabitha Louise Mecklenborg | Occupational Therapy Assistant | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-03-17 |
| 1154887313 | Christel Stone Littleton | Physical Therapy Assistant | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-02-13 |
| 1013472034 | Sarah Clay | Occupational Therapy Assistant | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-02-04 |
| 1255896205 | Kevin Daniel Klegg | Occupational Therapy Assistant | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-02-04 |
| 1174097414 | Matthew Sharon | Physical Therapy Assistant | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-01-21 |
| 1609340645 | Lori Toney | Physical Therapy Assistant | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-01-13 |
| 1679047799 | Olivia Traynor | Occupational Therapist | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2019-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| 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.