CUMBERLAND SPECIAL CARE PHARMACY LLC (NPI# 1215319892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215319892 |
Entity Type | Organization |
Organization Name | CUMBERLAND SPECIAL CARE PHARMACY LLC |
Other Organization Name | CUMBERLAND VITAL CARE |
Practice Address |
3106 Miller Ave Ste 101 Crossville TN 38555-6118 |
Mailing Address |
Po Box 2809 Crossville TN 38557-2809 |
Practice Telephone | 9314560680 |
Practice Fax Number | 9314564857 |
Mailing Telephone | 9314560680 |
Mailing Fax Number | 9314564857 |
Enumeration Date | 2015-06-19 |
Last Update Date | 2020-10-29 |
Authorized Official Name | LANDON HEADRICK (OWNER/PIC) |
Authorized Official Telephone | 9314560680 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
5708 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q020116 | 05 | |
PK | 2157234 | 01 |
Other Name | Type Code |
---|---|
Cumberland Vital Care | Doing Business As Name - Organization |
Street Address |
3106 MILLER AVE STE 101 |
City | CROSSVILLE |
State | TN |
Zip Code | 38555-6118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
Find all providers in zip 38555 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679040281 | Nutritional Pharmacy Services, LLC | Pharmacy | 1838 Elm Hill Pike Ste 120, Nashville, TN 37210-3726 | 2018-11-01 |
1922584531 | Pharmacy Services of America, LLC | Pharmacy | 1838 Elm Hill Pike Ste 118, Nashville, TN 37210-3726 | 2018-07-17 |
1518349562 | Acro Pharmaceutical Services LLC | Pharmacy | 7891 Stage Hills Blvd Ste 111, Bartlett, TN 38133-4052 | 2015-06-26 |
1467724153 | Paragon Hemophilia Solutions | Pharmacy | 107 Imperial Blvd Ste 9, Hendersonville, TN 37075-3492 | 2012-01-27 |
1629364864 | Bradley's Home Health Care Center | Pharmacy | 5208 Charlotte Avenue, Nashville, TN 37209-3321 | 2011-06-27 |
1477728491 | Wilson Pharmacy, Inc | Pharmacy | 523 N State of Franklin Rd Ste B, Johnson City, TN 37604-8210 | 2008-04-30 |
1528154259 | Continucare Healthservices, Inc. - Hme East | Pharmacy | 1651 Gunbarrel Road, Suite 101-b, Chattanooga, TN 37421 | 2006-10-04 |
1962468181 | Medical Alternatives | Pharmacy | 6949 Appling Farms Pkwy, Suite 109, Memphis, TN 38133-4731 | 2006-04-25 |
1720357908 | Ffp Acquisition II, LLC | Pharmacy | 8024 Stage Hills Blvd, Suite 107, Memphis, TN 38133-4048 | 2011-12-18 |
1407152689 | St. Jude Hospital Pharmacy | Pharmacy | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2011-02-04 |
Find all providers with the same taxonomy |
City | CROSSVILLE |
Zip Code | 38555 |
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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.