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TENNESSEE CVS PHARMACY LLC NPI 1992076590


NPI Information

NPI: 1992076590
Provider Name: TENNESSEE CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #02386

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1405 N HIGHLAND AVE
JACKSON, TN
ZIP 38301
Phone: (731) 935-8303
Get Directions

TENNESSEE CVS PHARMACY LLC is a pharmacy in Jackson, 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 1992076590. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #02386.

The provider's business location address is:

1405 N HIGHLAND AVE
JACKSON, TN
ZIP 38301-496
Phone: (731) 935-8303

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 enumeration date for this NPI number is 1/13/2012 and was last updated on 5/23/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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
1FT3058383OTHERDEA
24444775OTHERNCPDP
3103G730742MEDICARE PIN
45777660132MEDICARE NSC
500004984OTHERTENNESSEEPHARMACY STATE LICENSE

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: 11/14/2023

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.