Active NPI
Cassie Laurel Coleman, PHARMD
- Pharmacist
- Centerville, TN
National Provider Identifier
1164764189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35983
- Practice address
- 150 E Swan St
Centerville, TN 37033-1446 - Phone
- (931) 729-6798
- Fax
- (931) 729-6799
- NPI assigned
- Mar 18, 2013
- Last updated
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35983 | TN | Primary |
Addresses
Primary practice location
150 E Swan St
Centerville, TN 37033-1446
Mailing address
150 E Swan St
Centerville, TN 37033-1446
Phone (931) 729-6798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35983 | Other | TN | TN PHARMACIST LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35983 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Pharmacy, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Centerville, TN
- NPI 1861503989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1164764189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E SWAN ST",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331446",
"telephone_number": "931-729-6798",
"fax_number": "931-729-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E SWAN ST",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331446",
"telephone_number": "931-729-6798",
"fax_number": "931-729-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CASSIE",
"middle_name": "LAUREL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "35983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN PHARMACIST LICENSE NO.",
"identifier": "35983",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerville, TN
- Centerstone (Mental Health Center)
- Centerville Dental
- Centerville Medical Investors, LLC (Life Care Center of Centerville)
- Samantha Lea Claud, FNP-BC
- Jennifer H Coates, APRN-FNP-C
- Stephanie Renee Collins
- Emily Swan Cook, PHARM D
- County of Hickman Office of County Executive (Hickman County Ambulance Service)
- County of Hickman Superintendent of Schools
- Barry Edward Craig, DPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.