Organization Active NPI

Gayatrimata LLC

  • Community/Retail Pharmacy
  • Cleveland, TN
National Provider Identifier
1407574882
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GAYATRIMATA LLC
Practice address
2296 Dalton Pike SE
Cleveland, TN 37311-7752
Phone
(423) 650-3605
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Metesh Jayantilal Patel
Title
Pharmacy Owner
Phone
(423) 650-3605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2296 Dalton Pike SE
Cleveland, TN 37311-7752

Mailing address

2670 Kensington Park TRL NW
Cleveland, TN 37312-2298
Phone (423) 740-4788

Other names 1

  • Cleveland Discount Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221206002948 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5698144079 Practice locations: Cleveland, TN
O20230707003712 TN Part B Supplier - Pharmacy 5698144079 Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Discount 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": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1407574882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 KENSINGTON PARK TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122298",
            "telephone_number": "423-740-4788",
            "fax_number": "423-740-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 DALTON PIKE SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373117752",
            "telephone_number": "423-650-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYATRIMATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "METESH",
        "authorized_official_middle_name": "JAYANTILAL",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "423-650-3605"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Discount 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 Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.