Organization Active NPI

Infinity Pharmacy Group LLC

Doing business as Infinity Pharmacy

  • Community/Retail Pharmacy
  • Cookeville, TN
National Provider Identifier
1578207668
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INFINITY PHARMACY GROUP LLC
Doing business as
Infinity Pharmacy
Practice address
305 W Spring St
Cookeville, TN 38501-3125
Phone
(931) 372-2700
Fax
(931) 372-2701
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Mark Casal
Title
Owner
Phone
(931) 372-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

305 W Spring St
Cookeville, TN 38501-3125

Mailing address

305 W Spring St
Cookeville, TN 38501-3125
Phone (931) 372-2700

Other names 1

  • INFINITY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220820000188 TN Part B Supplier - Pharmacy 2668855826 Practice locations: Cookeville, TN
O20240730001474 TN DME Supplier - Pharmacy 2668855826 Practice locations: Cookeville, TN

National Provider Directory

National Provider Directory
Tax ID family
Infinity Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1578207668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013125",
            "telephone_number": "931-372-2700",
            "fax_number": "931-372-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SPRING ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013125",
            "telephone_number": "931-372-2700",
            "fax_number": "931-372-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PHARMACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "CASAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-372-2700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFINITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INFINITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.