NPIMap

Organization Active NPI

Tennessee Oncology Pharmacy Dispensing

  • Non-Pharmacy Dispensing Site
  • Tullahoma, TN
National Provider Identifier
1134425549
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
26292 Issued in TN
Legal business name
TENNESSEE ONCOLOGY PHARMACY DISPENSING
Practice address
1750 Cedar LN
Ste 200
Tullahoma, TN 37388-4759
Phone
(931) 393-3143
NPI assigned
Feb 2, 2011
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
Tennessee Oncology PLLC77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Pattie Douglas
Title
Payer Relations Manager
Phone
(615) 514-3042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 26292 TN Primary

Addresses

Primary practice location

1750 Cedar LN
Ste 200
Tullahoma, TN 37388-4759

Mailing address

PO Box 440553
Nashville, TN 37244-0553
Phone (615) 329-0570

Other identifiers 1

IdentifierTypeStateIssuer
3709319MedicaidTN

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1134425549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440553",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440553",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CEDAR LN",
            "address_2": "STE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884759",
            "telephone_number": "931-393-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY PHARMACY DISPENSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_title_or_position": "PAYER RELATIONS MANAGER",
        "authorized_official_telephone_number": "615-514-3042"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "26292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709319",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.