Organization Active NPI

Vanderbilt University Medical Center

Doing business as Vanderbilt Integrated Pharmacy

  • Specialty Pharmacy
  • Nashville, TN
National Provider Identifier
1679971485
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
114507 Issued in AL
Legal business name
VANDERBILT UNIVERSITY MEDICAL CENTER
Doing business as
Vanderbilt Integrated Pharmacy
Practice address
726 Melrose Ave
Nashville, TN 37211-2151
Phone
(615) 875-6000
Fax
(615) 242-1151
NPI assigned
Dec 10, 2014
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Mark Sullivan
Title
Chief Pharmacy Officer
Phone
(615) 343-9595

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X A9-0001840 DE
Specialty Pharmacy 3336S0011X 114507 AL Primary
Specialty Pharmacy 3336S0011X PHNR000936 GA
Specialty Pharmacy 3336S0011X PH30108 FL
Specialty Pharmacy 3336S0011X 22-104210 KS
Specialty Pharmacy 3336S0011X 054.019599 IL
Specialty Pharmacy 3336S0011X 43401MS ID
Specialty Pharmacy 3336S0011X PHY.007524-NR LA
Specialty Pharmacy 3336S0011X 4544 IA
Specialty Pharmacy 3336S0011X 2017028388 MO
Specialty Pharmacy 3336S0011X 265180 MN
Specialty Pharmacy 3336S0011X TN2112 KY
Specialty Pharmacy 3336S0011X 64002111A IN
Specialty Pharmacy 3336S0011X PCN.0003412 CT
Specialty Pharmacy 3336S0011X P07724 MD

Addresses

Primary practice location

726 Melrose Ave
Nashville, TN 37211-2151

Mailing address

726 Melrose Ave
Nashville, TN 37211-2151
Phone (615) 875-6000

Other names 1

  • Vanderbilt Integrated 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
O20190508001621 TN DME Supplier - Pharmacy 5092023416 Practice locations: Nashville, TN
O20200707001197 TN Part B Supplier - Pharmacy 5092023416 Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Vanderbilt University Medical Cente726 Melrose Ave, Nashville, TN 37211-2151(866) 321-8664 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 2015

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vanderbilt Clarksville HospitalClarksville, TN, CCN 440035 Hospital 5% Or Greater Indirect Ownership Interest Dec 31, 2020
Vanderbilt Clarksville HospitalClarksville, TN, CCN 44T035 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 31, 2020
Vanderbilt Stallworth Rehabilitation HospitalNashville, TN, CCN 443028 Hospital Limited Partnership Interest (49%) Apr 30, 2016
Vanderbilt Wilson County HospitalLebanon, TN, CCN 440193 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN, CCN 440144 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Bedford HospitalShelbyville, TN, CCN 440137 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Home Care ServicesNashville, TN, CCN 447249 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 30, 2016
Vanderbilt Primary Care DoverDover, TN, CCN 448914 Rural health clinic 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Vanderbilt Integrated Primary Care UnionvilleUnionville, TN, CCN 443456 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Integrated Primary Care WartraceWartrace, TN, CCN 443455 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Integrated Primary Care ShelbyvilleShelbyville, TN, CCN 443454 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2021
Jan 1, 2021
Vanderbilt Integrated Urgent CareShelbyville, TN, CCN 443457 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Integrated Primary Care Madison StreetShelbyville, TN, CCN 443458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Pediatric AssociatesHopkinsville, KY, CCN B03840 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Vanderbilt Integrated PediatricsTullahoma, TN, CCN 883853 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
May 1, 2021
Vip Children's Clinic-LafayetteLafayette, TN, CCN 883850 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vip Children's Clinic - SpringfieldSpringfield, TN, CCN 883849 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vip Childrens Clinic-Pleasant ViewPleasant View, TN, CCN 883848 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vanderbilt Integrated Internal Medicine Cedar LaneTullahoma, TN, CCN 883959 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
Dec 1, 2023
Vanderbilt Integrated Internal MedicineTullahoma, TN, CCN 883958 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
Dec 1, 2023
Vanderbilt Integrated Center for Women's HealthTullahoma, TN, CCN 883960 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
May 1, 2021

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1679971485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 MELROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112151",
            "telephone_number": "615-875-6000",
            "fax_number": "615-242-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 MELROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112151",
            "telephone_number": "615-875-6000",
            "fax_number": "615-242-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "615-343-9595"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "DE",
            "license": "A9-0001840",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "AL",
            "license": "114507",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": "PHNR000936",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH30108",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KS",
            "license": "22-104210",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054.019599",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "ID",
            "license": "43401MS",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "LA",
            "license": "PHY.007524-NR",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IA",
            "license": "4544",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "2017028388",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MN",
            "license": "265180",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KY",
            "license": "TN2112",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IN",
            "license": "64002111A",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CT",
            "license": "PCN.0003412",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MD",
            "license": "P07724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt Integrated Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.