NPIMap

Organization Active NPI

Greene Valley Developmental Center Pharmacy

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greeneville, TN
National Provider Identifier
1609949007
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
711 Issued in TN
Legal business name
GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY
Practice address
4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098
Phone
(423) 378-7665
Fax
(423) 787-6776
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Henry Crockett Meece, PHD
Title
Chief Officer
Phone
(423) 787-6568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 711 TN Primary

Addresses

Primary practice location

4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098

Mailing address

PO Box 910
Greeneville, TN 37744-0910
Phone (423) 378-7665

Other identifiers 1

IdentifierTypeStateIssuer
4416067OtherNABP

National Provider Directory

National Provider Directory
Tax ID family
Trousdale County Health202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1609949007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440910",
            "telephone_number": "423-378-7665",
            "fax_number": "423-787-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453098",
            "telephone_number": "423-378-7665",
            "fax_number": "423-787-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MEECE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CROCKETT",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "423-787-6568",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4416067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.