DIXIE INFUSION PHARMACY, LLC (NPI# 1881141380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881141380 |
Entity Type | Organization |
Organization Name | DIXIE INFUSION PHARMACY, LLC |
Other Organization Name | DIXIE VITAL CARE |
Practice Address |
311 Landrum Place Suite 600 Clarksville TN 37043-6319 |
Practice Telephone | 9312415655 |
Practice Fax Number | 9312415654 |
Mailing Telephone | 9312415655 |
Mailing Fax Number | 9312415654 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2017-03-20 |
Authorized Official Name | NAVAS YOONUS (OWNER/CEO) |
Authorized Official Telephone | 9312415655 |
Authorized Official Credential | PHARMACISTS |
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 |
00005881 | TN | Suppliers |
N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
00005881 | TN | Suppliers |
N | 251F00000X | Home Infusion | 00005881 | TN | Agencies |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 00005881 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q026372 | 05 |
Other Name | Type Code |
---|---|
Dixie Vital Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255815619 | Dixie Infusion Pharmacy, LLC | Clinic/Center | 311 Landrum Pl Ste 600, Clarksville, TN 37043-6319 | 2018-09-21 |
1245722685 | Dixie Infusion Pharmacy, LLC | Clinic/Center | 1210 Briarville Rd Ste 502, Madison, TN 37115-5141 | 2018-06-01 |
Street Address |
311 LANDRUM PLACE SUITE 600 |
City | CLARKSVILLE |
State | TN |
Zip Code | 37043-6319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417938432 | John K Endsley | Internal Medicine | 311 Landrum Place, Ste 100, Clarksville, TN 37043 | 2005-11-08 |
1699091447 | Caring Family Practice Pllc | Nurse Practitioner | 311 Landrum Place, Suite C500, Clarksville, TN 37043 | 2010-04-19 |
1366617466 | Clarksville Orthopedics, Plc | Orthopaedic Surgery | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2008-04-29 |
1386837235 | Montgomery Medical | Internal Medicine | 311 Landrum Place, #100, Clarksville, TN 37043 | 2007-08-23 |
1508961996 | James David Amlicke | Internal Medicine | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
Find all providers in zip 37043 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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1013450279 | Better Life Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1301 Fort Campbell Blvd, B, Clarksville, TN 37042-4076 | 2016-11-21 |
1386096402 | Donna Barry | Durable Medical Equipment & Medical Supplies | 213 Mill Creek Rd, Clarksville, TN 37042-5950 | 2016-07-13 |
1720447931 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1404 Blackiston Mill Rd, Clarksville, IN 47129-2288 | 2016-02-16 |
1134501265 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 408 Tiny Town Rd, Clarksville, TN 37042-5642 | 2015-06-25 |
1598145559 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 216 Dover Rd, Clarksville, TN 37042-4156 | 2015-06-04 |
1932587045 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2551 Whitfield Rd, Clarksville, TN 37040-7500 | 2015-05-08 |
1003155524 | Chris Freeman | Durable Medical Equipment & Medical Supplies | 2 Trison Ln, Clarksville, AR 72830-8003 | 2013-02-04 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 37043 |
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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.