Forshee- Carder Pharmacy, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2933 Issued in TN

Legal business name

FORSHEE- CARDER PHARMACY, INC

Practice address

1690 25TH St NW
Cleveland, TN 37311-3613

Phone

(423) 559-3013

Fax

(423) 559-3007

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Grady Michael Carder, RPH

Title

Vice-President

Phone

(423) 559-3013

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cherokee Advanced Care Pharmacy Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1316088289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 25TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113613",
            "telephone_number": "423-559-3013",
            "fax_number": "423-559-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 25TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113613",
            "telephone_number": "423-559-3013",
            "fax_number": "423-559-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSHEE- CARDER PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "CARDER",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "423-559-3013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TN",
            "license": "2933",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP ID NUMBER",
            "identifier": "4429684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Advanced Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer P Fontenot, DNP, APRN, NP-C
• Ford Center for Pain Management
• Daryl A Ford, CNM
• Gregory Seth Ford, M.D.
• Laura Alves Ford, M.S. CCC-A
• David Terry Forshee, P.D., RPH, CDE
• Forshee/Carder Pharmacies, Inc.
• Forshee/Carder Pharmacies, Inc.
• Forshee/Carder Pharmacies, Inc.
• Forshee/Carder Pharmacies, Inc.

• Long Term Care Pharmacy in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.