NPIMap

Organization Active NPI

LTC Pharmacy Services LLC

Doing business as LTC Pharmacy

  • Long Term Care Pharmacy
  • Cleveland, TN
National Provider Identifier
1285030379
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
5495 Issued in TN
Legal business name
LTC PHARMACY SERVICES LLC
Doing business as
LTC Pharmacy
Practice address
3915 Adkisson Dr NW
Cleveland, TN 37312-2821
Phone
(423) 473-5982
Fax
(844) 778-0700
NPI assigned
Nov 17, 2014
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Craig Scheel
Title
President
Phone
(423) 473-5982

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 5495 TN Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3915 Adkisson Dr NW
Cleveland, TN 37312-2821

Mailing address

3915 Adkisson Dr NW
Cleveland, TN 37312-2821
Phone (423) 473-5982

Other identifiers 1

IdentifierTypeStateIssuer
2148840OtherPK

Other names 1

  • LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LTC Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1285030379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 ADKISSON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122821",
            "telephone_number": "423-473-5982",
            "fax_number": "844-778-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 ADKISSON DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122821",
            "telephone_number": "423-473-5982",
            "fax_number": "844-778-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "SCHEEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-473-5982"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "5495",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC 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 Apr 14, 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.