Tennessee CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

1499 Issued in TN

Legal business name

TENNESSEE CVS PHARMACY LLC

Practice address

4209 N Roan St
Johnson City, TN 37601-1114

Phone

(423) 282-5722

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #07235 Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

CVS 08427127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• Carecenter Pharmacy, L.L.C.

  • Pharmacy
  • Chattanooga, TN
  • NPI 1093470031
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Dyersburg, TN
  • NPI 1073997177
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • La Follette, TN
  • NPI 1083717706
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Bristol, TN
  • NPI 1104929611
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Cleveland, TN
  • NPI 1104929801
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Morristown, TN
  • NPI 1114020815
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Harriman, TN
  • NPI 1124121827
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Farragut, TN
  • NPI 1134222847
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Soddy Daisy, TN
  • NPI 1144323858
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Morristown, TN
  • NPI 1154424794
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Cookeville, TN
  • NPI 1164619201
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Mount Juliet, TN
  • NPI 1174545826
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1144323643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011114",
            "telephone_number": "423-282-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "1499",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4420105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #07235",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Jessica Templeton, NP-C
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• Tennessee Critical Care Services, Inc
• Tennessee CVS Pharmacy LLC
• Tennessee Dental Professionals, PC
• Tennessee Heart Rhythm Center PLLC
• Tennessee Oncology
• Tennessee Oncology, PLLC

• All providers in Johnson City, TN
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.