NPIMap

Organization Active NPI

Nutritional Support Services

Doing business as Network Healthcare Knoxville

  • Long Term Care Pharmacy
  • Knoxville, TN
National Provider Identifier
1346318169
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2371 Issued in TN
Legal business name
NUTRITIONAL SUPPORT SERVICES
Doing business as
Network Healthcare Knoxville
Practice address
8975 Executive Park Dr
Knoxville, TN 37923-4701
Phone
(865) 531-0008
Fax
(865) 531-0058
NPI assigned
Dec 1, 2006
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Terry Leeman
Title
President
Phone
(615) 890-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 2371 TN Primary

Addresses

Primary practice location

8975 Executive Park Dr
Knoxville, TN 37923-4701

Mailing address

PO Box 32249
Knoxville, TN 37930-2249

Other identifiers 2

IdentifierTypeStateIssuer
4428531MedicaidTN
2091695OtherPK

Other names 1

  • NETWORK HEALTHCARE KNOXVILLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nutritional Support Servi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8975 Executive Park Dr
Knoxville, TN 37923
Phone (865) 531-0008

9000 Executive Park Dr
Ste A203
Knoxville, TN 37923
Phone (865) 531-0008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1346318169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32249",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8975 EXECUTIVE PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234701",
            "telephone_number": "865-531-0008",
            "fax_number": "865-531-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "LEEMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-890-2020"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4428531",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NETWORK HEALTHCARE KNOXVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NETWORK HEALTHCARE KNOXVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.