NPIMap

Organization Active NPI

Cedar Recovery of Middle Tennessee, LLC

  • Long Term Care Pharmacy
  • Nashville, TN
National Provider Identifier
1124861406
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC
Practice address
2525 Perimeter Place Dr Ste 105
Nashville, TN 37214-3674
Phone
(615) 257-6844
Fax
(615) 549-7044
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Paul Stephen Trivette
Title
Chief Strategy Officer
Phone
(423) 914-1518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2525 Perimeter Place Dr Ste 105
Nashville, TN 37214-3674

Mailing address

5000 Crossings Cir Ste 103
Mount Juliet, TN 37122-8591
Phone (615) 257-6844

Other identifiers 1

IdentifierTypeStateIssuer
Q090493MedicaidTN

Other names 1

  • CedarRx-Nashville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedar Recovery of Middle TN4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2525 Perimeter Place Dr
Ste 105
Nashville, TN 37214
Phone (615) 257-6844

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1124861406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228591",
            "telephone_number": "615-257-6844",
            "fax_number": "615-549-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PERIMETER PLACE DR STE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143674",
            "telephone_number": "615-257-6844",
            "fax_number": "615-549-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "TRIVETTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "423-914-1518"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q090493",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CedarRx-Nashville",
            "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 Aug 13, 2026; 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.