MEDICAL CENTER PHARMACY INC (NPI# 1497116529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497116529 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER PHARMACY INC |
| Practice Address |
2401 N Ocoee St Suite 301 Cleveland TN 37311-3853 |
| Mailing Address |
Po Box 3240 Cleveland TN 37320-3240 |
| Practice Telephone | 4234725548 |
| Practice Fax Number | 4234725548 |
| Mailing Telephone | 4234725548 |
| Mailing Fax Number | 4234725548 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | JOE SHANNON MOORE (OWNER) |
| Authorized Official Telephone | 4234725548 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 0128150001 | 01 | |
| TN | 3524217 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669522645 | Medical Center Pharmacy Inc | Pharmacy | 132 Victory Dr, Swainsboro, GA 30401-3235 | 2007-01-11 |
| 1366459034 | Medical Center Pharmacy Inc | Pharmacy | 126 N Walnut St, Peabody, KS 66866-1060 | 2006-08-02 |
| 1770587644 | Medical Center Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 S Long Dr, Rockingham, NC 28379-4317 | 2005-06-09 |
| 1861495160 | Medical Center Pharmacy Inc | Pharmacy | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2005-05-31 |
| 1225482490 | Medical Center Pharmacy Inc | Pharmacy | 1100 Sherman Ave, Hamden, CT 06514 | 2016-04-14 |
| 1285756858 | Medical Center Pharmacy Inc | Pharmacy | 800 Howard Ave, New Haven, CT 06519-1369 | 2007-04-04 |
| 1033277447 | Medical Center Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2006-12-05 |
| 1841364379 | Medical Center Pharmacy Inc | Pharmacy | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2006-11-17 |
| 1942215314 | Medical Center Pharmacy Inc | Pharmacy | 400 W 4th St, Suite 1, Mcpherson, KS 67460-2306 | 2006-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEDICAL CENTER PHARMACY INCORPORATED | 1212 Third Street S.w., Roanoke, Virginia 24016 |
| Street Address |
2401 N OCOEE ST SUITE 301 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265517171 | Timothy H. Ray | Dentist | 2401 N Ocoee St, Suite 201, Cleveland, TN 37311 | 2006-10-26 |
| 1104388693 | Leah Hooper | Counselor | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2019-04-03 |
| 1396105763 | Joe Moore | Pharmacist | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2016-02-29 |
| 1437519022 | Rhonda K Hanley | Pharmacist | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2016-02-25 |
| 1447629670 | Alana Haney Family Medicine | Clinic/Center | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2015-09-17 |
| 1629354287 | Bates Family Medicine, Pllc | Family Medicine | 2401 N Ocoee St, Suite 102, Cleveland, TN 37311-3853 | 2011-10-27 |
| 1326322371 | Cynthia J Smith | Pharmacist | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2011-10-07 |
| 1124351598 | Alana Michelle Haney | Physician Assistant | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2009-09-16 |
| 1033277447 | Medical Center Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2006-12-05 |
| 1841364379 | Medical Center Pharmacy Inc | Pharmacy | 2401 N Ocoee St, Cleveland, TN 37311-3853 | 2006-11-17 |
| Find all providers in the same location | ||||
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1992953384 | Serenity Nursing Care Inc | Clinic/Center | 10017 Lake Ave, #401, Cleveland, OH 44102-1282 | 2008-08-28 |
| 1437315546 | Concentra Health Services, Inc. | Clinic/Center | 5500 South Marginal Road, Cleveland, OH 44103 | 2008-07-29 |
| 1316105844 | Taf Ancillary Medical Services Co | Clinic/Center | 300 W Osage St, Cleveland, OK 74020-4609 | 2008-05-31 |
| 1831216100 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 5500 S Marginal Rd, Cleveland, OH 44103-1072 | 2007-03-23 |
| 1255458519 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 4660 Hinckley Industrial Pkwy, Cleveland, OH 44109-6011 | 2007-03-23 |
| 1154826378 | Fpb Clinical Practice LLC | Clinic/Center | 2181 Ambleside Dr, Cleveland, OH 44106-4645 | 2018-03-28 |
| 1154862670 | Bio Phlebotomy of Greater Cleveland | Clinic/Center | 574 E 200th St, Suite 2-3, Cleveland, OH 44119-1570 | 2017-03-16 |
| 1528224631 | Concentra Health Services, Inc. | Clinic/Center | 4660 Hinckley Industrial Parkway, Cleveland, OH 44109 | 2008-07-29 |
| 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.