TENNESSEE CVS PHARMACY, L.L.C. (NPI# 1710080429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710080429 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #06365 |
| Practice Address |
101 N Charles Seivers Blvd Clinton TN 37716 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8654579358 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-02 |
| 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 | 00001289 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4421145 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06365 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932424991 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 5055 Stage Rd, Memphis, TN 38128-5033 | 2010-04-02 |
| 1760710370 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9861 Us Highway 64, Arlington, TN 38002-7980 | 2009-11-20 |
| 1851577753 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2398 New Salem Highway, Murfreesboro, TN 37128 | 2008-01-10 |
| 1508065350 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 735 Harding Place, Nashville, TN 37211 | 2007-07-12 |
| 1922121110 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2424 N Ocoee St, Cleveland, TN 37311-3854 | 2007-04-10 |
| 1316000789 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 607 Se Broad St, Murfreesboro, TN 37130-5003 | 2006-12-18 |
| 1396849105 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2415 Parkway, Pigeon Forge, TN 37863-3228 | 2006-09-12 |
| 1679677488 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 417 E Emory Rd, Powell, TN 37849-3518 | 2006-09-12 |
| 1205930013 | Tennessee Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9101 Carothers Pkwy, Franklin, TN 37067-6308 | 2006-09-12 |
| 1699878306 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 111 S Hall Rd, Alcoa, TN 37701-2639 | 2006-09-07 |
| Street Address |
101 N CHARLES SEIVERS BLVD |
| City | CLINTON |
| State | TN |
| Zip Code | 37716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| 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 |
|---|---|---|---|---|
| 1912376849 | Roe Rx Inc | Pharmacy | 1407 N 2000 W Ste E, Clinton, UT 84015-8563 | 2015-09-22 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1730510074 | Custom Care Pharmacy, LLC | Pharmacy | 132 E Northside Dr, Suite C, Clinton, MS 39056-3415 | 2013-12-12 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1700929833 | Shoprite of Hunterdon County Inc | Pharmacy | 50 Walmart Plz, Clinton, NJ 08809-1264 | 2007-02-15 |
| 1073620258 | Kph Healthcare Services, Inc. | Pharmacy | 12 Franklin Ave, Clinton, NY 13323-1616 | 2006-08-24 |
| 1710909544 | Sadler Hughes Apothecary | Pharmacy | 216 South Broad St, Clinton, SC 29325 | 2006-07-24 |
| 1982636924 | Freds Stores of Tennessee Inc | Pharmacy | 200 Clinton Blvd, Clinton, MS 39056-5126 | 2006-07-07 |
| 1952347973 | Grayrockrx LLC | Pharmacy | 2004 State Route 31, Clinton, NJ 08809-2040 | 2006-06-20 |
| 1891762134 | Clinton Pharmacy LLC | Pharmacy | 307 Beaman St, Clinton, NC 28328-2907 | 2006-03-07 |
| Find all providers in CLINTON | ||||
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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.