Active NPI
GNR PLLC
- Long Term Care Pharmacy
- Cleveland, TN
National Provider Identifier
1255103768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- GNR PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Cleveland, TN
- NPI 1194529313
-
- Community/Retail Pharmacy
- Cleveland, TN
- NPI 1659013704
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.