Active NPI
Fort Sanders Regional Medical Center
Doing business as Fort Sanders Regional Infusion Services
- Home Infusion Therapy Pharmacy
- Knoxville, TN
National Provider Identifier
1629066378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 570
- Legal business name
- FORT SANDERS REGIONAL MEDICAL CENTER
- Doing business as
- Fort Sanders Regional Infusion Services
- Practice address
- 1901 W Clinch Ave
Knoxville, TN 37916-2307 - Phone
- (865) 331-1860
- Fax
- (865) 331-1861
- NPI assigned
- Oct 7, 2005
- Last updated
- Jun 10, 2025
- 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
- Rick Carringer, CPA
- Title
- VP, Revenue Cycle
- Phone
- (865) 374-3000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 570 | TN | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1901 W Clinch Ave
Knoxville, TN 37916-2307
Mailing address
1420 Centerpoint Blvd
Building C
Knoxville, TN 37932-1960
Phone (865) 374-5354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2092051 | Other | PK | |
| Q017785 | Medicaid | TN |
Other names 1
- Fort Sanders Regional Infusion Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | FortSandersRegionalMedicalCenter@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930093522 | TN | DME Supplier - Pharmacy | 9537066428 | Practice locations: Knoxville, TN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Skilled Nursing Facility
- Knoxville, TN
- NPI 1265410948
9537066428
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
9537066428
National Provider Directory
National Provider Directory- Tax ID family
- Ft Sanders Regional Med
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Knoxville, TN
- NPI 1265410948
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1306247515
-
dba Covenant Health Specialty Pharmacy
- Community/Retail Pharmacy
- Knoxville, TN
- NPI 1467267575
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1780868075
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- Institutional Pharmacy
- Knoxville, TN
- NPI 1952508095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1629066378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CENTERPOINT BLVD",
"address_2": "BUILDING C",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321960",
"telephone_number": "865-374-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W CLINCH AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162307",
"telephone_number": "865-331-1860",
"fax_number": "865-331-1861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT SANDERS REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "CARRINGER",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "VP, REVENUE CYCLE",
"authorized_official_telephone_number": "865-374-3000",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "TN",
"license": "570",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2092051",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q017785",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "FortSandersRegionalMedicalCenter@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "1901 W Clinch Ave",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379162307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Fort Sanders Regional Infusion Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fort Sanders Regional Infusion Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- Fort Sanders Perinatal Center
- Fort Sanders Regional Medical Center
- Fort Sanders Regional Medical Center
- Fort Sanders Regional Medical Center (Covenant Health Specialty Pharmacy)
- Fort Sanders Regional Medical Center
- Fort Sanders Regional Medical Center
- Fort Sanders Regional Medical Center
- Fort Sanders Regional Medical Center
- Fort Sanders West Op Surgery Center
- Alexandra Fort, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.