Organization Active NPI

Cumberland Medical Center Pharmacy

  • Institutional Pharmacy
  • Crossville, TN
National Provider Identifier
1487854634
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
0000000231 Issued in TN
Legal business name
CUMBERLAND MEDICAL CENTER PHARMACY
Practice address
421 S Main St
Crossville, TN 38555-5048
Phone
(931) 459-7122
Fax
(931) 456-6923
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mr. David Kellog
Title
Pharmacy Director
Phone
(931) 459-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 0000000231 TN Primary

Addresses

Primary practice location

421 S Main St
Crossville, TN 38555-5048

Mailing address

421 S Main St
Crossville, TN 38555-5048
Phone (931) 459-7122

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Med Ctr-Crna3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1487854634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555048",
            "telephone_number": "931-459-7122",
            "fax_number": "931-456-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555048",
            "telephone_number": "931-459-7122",
            "fax_number": "931-456-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "KELLOG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "931-459-7122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TN",
            "license": "0000000231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.