Cookeville RX Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COOKEVILLE RX INC.

Doing business as

Village Pharmacy

Practice address

841 E 10TH St
Cookeville, TN 38501-1903

Phone

(931) 400-0841

Fax

(931) 400-0842

NPI assigned

Apr 11, 2022

Last updated

Apr 20, 2022By 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

Dipti Patel

Title

Owner/ President

Phone

(931) 319-6949

Specialties & licenses 2

Addresses

Other names 1

• Village Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Cookeville RX Inc2 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.

• Cookeville RX Inc.

  dba Village Pharmacy

  • Long Term Care Pharmacy
  • Cookeville, TN
  • NPI 1083434682
  NPD tax ID

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.

• Kalene Farley

  • Pharmacist
  • Cookeville, TN
  • NPI 1861276610
  NPD
• Kristy Sutton, R.PH.

  • Pharmacist
  • Cookeville, TN
  • NPI 1588092860
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1508508466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011903",
            "telephone_number": "931-400-0841",
            "fax_number": "931-400-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011903",
            "telephone_number": "931-400-0841",
            "fax_number": "931-400-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "931-319-6949"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cookeville Regional Medical Center
• Cookeville Regional Medical Center (CRMC Outpatient Pharmacy)
• Cookeville Regional Medical Center (Cookeville Regional Medical Center Inpatient Rehabilitation Center)
• Cookeville Regional Medical Group, Inc
• Cookeville RX Inc. (Village Pharmacy)
• Cookeville Senior Living LLC (Cedar Hills Retirement Center)
• Cookeville SNF Healthcare LLC (Grandview Post Acute)
• Cookeville Urgent Care
• Cookeville Urology, PLLC
• Cookville Pain Consultants of Putnam County (Pain Consultants of Putnam County)

• Community/Retail Pharmacy in Cookeville, TN
• Providers in Cookeville, 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 Apr 20, 2022; 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.