Active NPI
Tennessee CVS Pharmacy LLC
Doing business as CVS Pharmacy #17079
- Pharmacy
- Franklin, TN
National Provider Identifier
1629090378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- TENNESSEE CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy #17079
- Practice address
- 3064 Columbia Ave
Franklin, TN 37064-7424 - Phone
- (615) 472-2053
- Fax
- (615) 472-2053
- NPI assigned
- Jul 24, 2006
- 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
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | 4131 | TN |
Addresses
Primary practice location
3064 Columbia Ave
Franklin, TN 37064-7424
Mailing address
1 CVS Dr
Mail Code 1090
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2094631 | Other | PK |
Other names 1
- CVS Pharmacy #17079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101110000381 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476756560 | This NPI is an additional NPI on the enrollment |
| O20161205001286 | TN | DME Supplier - Pharmacy | 3476756560 | Practice locations: Franklin, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tennessee CVS Pharmacy LLC | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy 04352
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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3064 Columbia Ave
Franklin, TN 37064
Phone (615) 472-2053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1629090378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "MAIL CODE 1090",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3064 COLUMBIA AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370647424",
"telephone_number": "615-472-2053",
"fax_number": "615-472-2053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "4131",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2094631",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #17079",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Franklin, TN
- Jada Teng
- Chase Tengberg
- Tenn NDX LLC
- Tennessee Centers for Laser Dentistry
- Tennessee CVS Pharmacy LLC (CVS Pharmacy #16215)
- Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #07099)
- Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #06415)
- Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #06399)
- Tennessee Dental Professionals PC (Franklin Dental Care)
- Tennessee Dental Professionals PC (Meridian Dental Centre)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.