Vanderbilt University

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

1008 Issued in TN

Legal business name

VANDERBILT UNIVERSITY

Practice address

1161 21St Ave S
Room 1815 the Vanderbilt Clinic
Nashville, TN 37232-0001

Phone

(615) 322-6480

Fax

(615) 322-4300

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Walt Woods

Title

Asst Director

Phone

(615) 322-6480

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• VANDERBILT UNIVERSITY HOSPITAL OP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1316974231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE VANDERBILT CLINIC",
            "address_2": "ROOM 1815",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-6480",
            "fax_number": "615-322-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "address_2": "ROOM 1815 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-6480",
            "fax_number": "615-322-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "ASST DIRECTOR",
        "authorized_official_telephone_number": "615-322-6480"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3553303",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANDERBILT UNIVERSITY HOSPITAL OP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University
• Vanderbilt University

• Specialty Pharmacy in Nashville, TN
• Providers in Nashville, TN by specialty
• Specialty Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.