Central Drug Co Peerless Crossing

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4259 Issued in TN

Legal business name

CENTRAL DRUG CO PEERLESS CROSSING

Practice address

1075 Peerless Crossing Rd
Cleveland, TN 37312

Phone

(423) 339-3363

Fax

(423) 339-9692

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Medley

Title

Owner/Partner

Phone

(423) 339-3363

Specialties & licenses 1

Addresses

Locations

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.

• Keith Bernard Medley, PHARMD

  • Pharmacist
  • Cleveland, TN
  • NPI 1174118582
  NPD
• William Alexander Green IV

  • Pharmacist
  • Cleveland, TN
  • NPI 1497639595
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417066309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2395",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373202395",
            "telephone_number": "423-476-4598",
            "fax_number": "423-478-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 PEERLESS CROSSING RD",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-339-3363",
            "fax_number": "423-339-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DRUG CO PEERLESS CROSSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "423-339-3363"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Causey
• Jasmine Celeste, FNP-C
• Center for Pain Management, PLLC
• Central Drug Co
• Central Drug Co (Central Drug Store LTC)
• Central Drug LLC (Central Drug Peerless Crossing)
• John W Chambers, MD
• Champion Physical Therapy LLC Halls (CORA Physical Therapy - Cleveland)
• Anna Chancey, OTR
• Jason Pierce Chancey, CRNA

• Community/Retail Pharmacy in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.