Clarksville Medical Solutions

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5120 Issued in TN

Legal business name

CLARKSVILLE MEDICAL SOLUTIONS

Practice address

2622 Madison St Ste a
Clarksville, TN 37043-6549

Phone

(931) 919-2491

Fax

(931) 919-2488

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Tera Henry

Title

Tech

Phone

(931) 919-2491

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Whitney Dulin, PHARMD

  • Pharmacist
  • Clarksville, TN
  • NPI 1144610809
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1083950489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 MADISON ST",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435284",
            "telephone_number": "931-919-2491",
            "fax_number": "931-919-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 MADISON ST STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436549",
            "telephone_number": "931-919-2491",
            "fax_number": "931-919-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "TECH",
        "authorized_official_telephone_number": "931-919-2491"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5120",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarksville Home Care Services LLC
• Clarksville Imaging Center LLC
• Clarksville Internal Medicine and Wellness PLLC
• Clarksville Internal Medicine, PLC
• Clarksville Limb & Brace & Rehab., Inc.
• Clarksville Midwifery, LLC
• Clarksville Modern Dentistry,PC
• Clarksville Montgomery County School System
• Clarksville Nursing and Rehabilitation Center LLC
• Clarksville OB GYN Associates

• Community/Retail Pharmacy in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.