TENNESSEE CVS PHARMACY LLC (NPI# 1316040025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316040025 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #05668 |
| Practice Address |
4515 Highway 411 Madisonville TN 37354-1573 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4234425211 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1457 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4419633 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #05668 | 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 |
4515 HIGHWAY 411 |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| Find all providers in zip 37354 | ||||
| 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 |
|---|---|---|---|---|
| 1558815910 | Madisonville Pharmacy Inc | Pharmacy | 200 Clinic Dr Ste 101, Madisonville, KY 42431-1661 | 2016-08-15 |
| 1952343287 | Madisonville Drugs Inc | Pharmacy | 211 Covington St, Madisonville, LA 70447-9683 | 2006-06-12 |
| 1649520859 | Willow Pharmacy Inc | Pharmacy | 1519 Highway 22 W, Madisonville Center Suite 5, Madisonville, LA 70447-9489 | 2012-09-14 |
| 1497803407 | Walkers Pharmacy | Pharmacy | 112 W Main St, Madisonville, TX 77864-1905 | 2007-01-08 |
| 1164519351 | Madisonville Pharmacy Inc | Pharmacy | 200 Clinic Dr, Ste 101, Madisonville, KY 42431-1661 | 2006-10-07 |
| 1649370099 | Brookshire Brothers Inc | Pharmacy | 403 E Main St, Madisonville, TX 77864-2032 | 2006-09-25 |
| 1386748341 | Wilson Drugs Inc | Pharmacy | 4249 Highway 411, Unit 5, Madisonville, TN 37354-1544 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1063027258 | Aspire Pharmacy LLC | Pharmacy | 907 Rivergate Pkwy # E9, Goodlettsville, TN 37072-2324 | 2020-09-14 |
| 1003436049 | Frances Freeman | Pharmacy | 502 Maplewood Dr, Greenbrier, TN 37073-4638 | 2020-04-20 |
| 1740809292 | Kerri Elizabeth Jones | Pharmacy | 404 Red Cedar Branch Rd, Kingsport, TN 37664-5049 | 2020-04-14 |
| 1073149548 | Cordant Pharmacy Tennessee, LLC | Pharmacy | 640 Spence Ln Ste 220, Nashville, TN 37217-1278 | 2020-03-17 |
| 1538793567 | Fpm LLC | Pharmacy | 6078 S 1st St, Milan, TN 38358-3131 | 2020-02-28 |
| 1730727843 | Publix Tennessee, LLC | Pharmacy | 2223 8th Ave S, Nashville, TN 37204-2205 | 2019-12-19 |
| 1447897483 | Palmer Drug, LLC | Pharmacy | 9971 Sr 56, Coalmont, TN 37313-3731 | 2019-12-10 |
| 1013553155 | Vanderbilt University Medical Center | Pharmacy | 1211 Medical Center Dr # 2906, Nashville, TN 37232-0004 | 2019-11-25 |
| 1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
Please comment or provide details below to improve the information on TENNESSEE CVS PHARMACY 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.