Organization Active NPI

GNR PLLC

  • Long Term Care Pharmacy
  • Cleveland, TN
National Provider Identifier
1255103768
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GNR PLLC
Doing business as
PHD PHARMACY
Practice address
110 Keith St SW Ste 1&2
Cleveland, TN 37311-5868
Phone
(423) 614-6650
Fax
(423) 614-6652
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Gina Patterson
Title
Owner
Phone
(423) 614-6550

Specialties & licenses 1

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

Addresses

Primary practice location

110 Keith St SW Ste 1&2
Cleveland, TN 37311-5868

Mailing address

PO Box 5450
Cleveland, TN 37320-5450
Phone (423) 614-6650

Other names 1

  • PHD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GNR PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1255103768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5450",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373205450",
            "telephone_number": "423-614-6650",
            "fax_number": "423-614-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KEITH ST SW STE 1&2",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115868",
            "telephone_number": "423-614-6650",
            "fax_number": "423-614-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-614-6550"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.