NPIMap

Organization Active NPI

Sumner Regional Medical Center LLC

Doing business as Westmoreland Pharmacy

  • Community/Retail Pharmacy
  • Westmoreland, TN
National Provider Identifier
1487728911
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4048 Issued in TN
Legal business name
SUMNER REGIONAL MEDICAL CENTER LLC
Doing business as
Westmoreland Pharmacy
Practice address
1124 New Highway 52 E
Westmoreland, TN 37186-5060
Phone
(615) 644-6030
Fax
(615) 644-6035
NPI assigned
Nov 17, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Lance Oldham, PHARMD
Title
Director
Phone
(615) 644-6030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 4048 TN Primary

Addresses

Primary practice location

1124 New Highway 52 E
Westmoreland, TN 37186-5060

Mailing address

1124 New Highway 52 E
Westmoreland, TN 37186-5060
Phone (615) 644-6030

Other identifiers 2

IdentifierTypeStateIssuer
4437578OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4437578MedicaidTN

Other names 1

  • WESTMORELAND PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sumner Regional Medical Center LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1487728911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 NEW HIGHWAY 52 E",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371865060",
            "telephone_number": "615-644-6030",
            "fax_number": "615-644-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 NEW HIGHWAY 52 E",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371865060",
            "telephone_number": "615-644-6030",
            "fax_number": "615-644-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-644-6030",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4437578",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4437578",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTMORELAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmoreland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.