SOUTHERRN HOME INFUSION PHARMACY NPI 1093982621

NPI Information

  • NPI: 1093982621
  • Provider Name: SOUTHERRN HOME INFUSION PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 1721 MAIN STREET
    WHITE PINE, TN
    ZIP 37890
  • Phone: (865) 674-6700

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NPI Details

SOUTHERRN HOME INFUSION PHARMACY is a parenteral and enteral nutrition durable medical equipment medical supplies in White Pine, TN. SOUTHERRN HOME INFUSION PHARMACY NPI is 1093982621. The provider is registered as an organization entity type.

The provider's business location address is:

1721 MAIN STREET
WHITE PINE, TN
ZIP 37890
Phone: (865) 674-6700
Fax: (865) 674-6704

The provider's authorized official is Wesley Taylor Cowan .
The authorized official title is Chief Pharmacist and has the following contact phone number (865) 674-6700.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/13/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition2342TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11168140001MEDICARE NSCTENNESSEE

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: 11/21/2025

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