NPIMap

Organization Active NPI

Vanderbilt University

  • Community/Retail Pharmacy
  • Nashville, TN
National Provider Identifier
1013215086
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1008 Issued in TN
Legal business name
VANDERBILT UNIVERSITY
Practice address
1161 21St Ave S RM 1815
The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone
(615) 322-6480
Fax
(615) 322-4300
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Walt Woods
Title
Asst Diirector
Phone
(615) 322-6480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1008 TN Primary
Specialty Pharmacy 3336S0011X 1008 TN

Addresses

Primary practice location

1161 21St Ave S RM 1815
The Vanderbilt Clinic
Nashville, TN 37232-0001

Mailing address

The Vanderbilt Clinic RM 1815
Nashville, TN 37232-0001
Phone (615) 322-6480

Other identifiers 2

IdentifierTypeStateIssuer
3553303MedicaidTN
NCPDP PROVIDER IDOtherTN4418972

Other names 1

  • VANDERBILT UNIVERSITY HOSPITAL OP PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vanderbilt Medical Grou27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1161 21st Ave S
Rm 1815
Nashville, TN 37232
Phone (615) 322-6480

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1013215086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE VANDERBILT CLINIC RM 1815",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-6480",
            "fax_number": "615-322-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S RM 1815",
            "address_2": "THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-6480",
            "fax_number": "615-322-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "ASST DIIRECTOR",
        "authorized_official_telephone_number": "615-322-6480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1008",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "1008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3553303",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4418972",
            "identifier": "NCPDP PROVIDER ID",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANDERBILT UNIVERSITY HOSPITAL OP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.