Organization Active NPI

Cookeville RX Inc.

  • Long Term Care Pharmacy
  • Cookeville, TN
National Provider Identifier
1083434682
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
COOKEVILLE RX INC.
Practice address
841 E 10TH St
Cookeville, TN 38501-1903
Phone
(931) 400-0841
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Kalene FarleyNPI 1861276610
Title
Pic
Phone
(931) 400-0941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

841 E 10TH St
Cookeville, TN 38501-1903

Mailing address

841 E 10TH St
Cookeville, TN 38501-1903
Phone (931) 400-0841

Other names 1

  • Village Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cookeville RX Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

841 E 10th St
Cookeville, TN 38501
Phone (931) 400-0841

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1083434682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011903",
            "telephone_number": "931-400-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011903",
            "telephone_number": "931-400-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "KALENE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "931-400-0941"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.