Active NPI
Cumberland Medical Center Pharmacy
- Institutional Pharmacy
- Crossville, TN
National Provider Identifier
1487854634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 0000000231
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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-Crna
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cumberland Medical Center
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
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
- Cumberland County Health Department
- Cumberland Dermatology, P.C.
- Cumberland Hearing Aid Center
- Cumberland Hearing Aid Center, Inc
- Cumberland Heart Clinic, PLLC
- Cumberland Medical Center, Inc (CMC Physician Group)
- Cumberland Medical Center, Inc. (Cumberland Medical Center)
- Cumberland Medical Center, Inc. (CMC Medical Equipment Services)
- Cumberland Medical Center, Inc.
- Cumberland Medical Center, Inc. (CMC Home C.A.R.E.)
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.