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BEVERLY PARK PHARMACY NPI 1174691901


NPI Information

NPI: 1174691901
Provider Name: BEVERLY PARK PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5321 BEVERLY PARK CIR
KNOXVILLE, TN
ZIP 37918
Phone: (865) 246-4034
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BEVERLY PARK PHARMACY is a pharmacy in Knoxville, TN. The provider is 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. BEVERLY PARK PHARMACY NPI is 1174691901. The provider is registered as an organization entity type.

The provider's business location address is:

5321 BEVERLY PARK CIR
KNOXVILLE, TN
ZIP 37918-253
Phone: (865) 246-4034
Fax: (865) 246-4081

The provider's authorized official is Terry Stevens .
The authorized official title is Dir Of Phcy and has the following contact phone number (865) 246-4034.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy4030TENNESSEEYes
23336C0003XPharmacyCommunity/Retail PharmacyX
33336L0003XPharmacyLong Term Care PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14437566MEDICAIDTENNESSEE
24437566OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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