P H PHARMACY LLC (NPI# 1265754030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265754030 |
| Entity Type | Organization |
| Organization Name | P H PHARMACY LLC |
| Other Organization Name | P. H. PHARMACY, LLC |
| Practice Address |
110 Keith St Sw Ste 3 Cleveland TN 37311-5868 |
| Mailing Address |
110 Keith St Sw Suite 3 Cleveland TN 37311-5868 |
| Practice Telephone | 4236146610 |
| Practice Fax Number | 8888052406 |
| Mailing Telephone | 4236146610 |
| Mailing Fax Number | 8888052406 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | HUNTER HICKS (CEO) |
| Authorized Official Telephone | 7708459470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 4732 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHNR000227 | GA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH28718 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1265754030 | 05 | |
| PK | 2123882 | 01 |
| Other Name | Type Code |
|---|---|
| P. H. Pharmacy, LLC | Doing Business As Name - Organization |
| Street Address |
110 KEITH ST SW STE 3 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851302434 | Pharmacy Home Delivery LLC | Pharmacy | 110 Keith St Sw, Suite 1, Cleveland, TN 37311-5868 | 2006-08-10 |
| 1215444344 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw, Ste 1&2, Cleveland, TN 37311 | 2018-01-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1073123576 | Prasanna LLC | Pharmacy | 200 E Boothe St Ste 103, Cleveland, TX 77327-4063 | 2020-08-09 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1841854270 | Mps Pharmacy LLC | Pharmacy | 112 S College Ave Ste 100, Cleveland, TX 77327-4502 | 2019-05-01 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1548713175 | Najjar Rx Inc. | Pharmacy | 6630 Broadway Ave, Cleveland, OH 44105-1310 | 2016-08-01 |
| 1609246081 | Param Santosh LLC | Pharmacy | 3114 Clark Ave, Cleveland, OH 44109-1146 | 2015-09-29 |
| 1346674900 | Asia Plaza Pharmacy LLC | Pharmacy | 2999 Payne Ave Ste 130, Cleveland, OH 44114-4436 | 2013-08-30 |
| 1477806065 | Cooke Food Store Inc | Pharmacy | 2010 Broomfield Rd Se, Cleveland, TN 37323-3301 | 2012-10-19 |
| 1477832822 | The Centers for Families and Children Pharmacy # 2 | Pharmacy | 3929 Rocky River Dr Ste P-101, Cleveland, OH 44111-4153 | 2011-08-16 |
| 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.