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TENNESSEE CVS PHARMACY LLC NPI 1750484457


NPI Information

NPI: 1750484457
Provider Name: TENNESSEE CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #03743

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 44D2266577

Address:
110 MAJESTIC GROVE RD
KNOXVILLE, TN
ZIP 37920
Phone: (865) 573-7901
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TENNESSEE CVS PHARMACY LLC 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. TENNESSEE CVS PHARMACY LLC NPI is 1750484457. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #03743.

The provider's business location address is:

110 MAJESTIC GROVE RD
KNOXVILLE, TN
ZIP 37920-611
Phone: (865) 573-7901

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 44D2266577 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 5/8/2012.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy0000001115TENNESSEEYes

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
14403907OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25777660104MEDICARE NSC
3P00965803MEDICARE PIN
4103G730742MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.