Vanderbilt University Medical Center

Organization Active NPI Specialty Pharmacy · Nashville, TN

NPI 1679971485 · NPPES record last updated Aug 13, 2025

Key facts

NPI
1679971485
Entity type
Organization (NPI type 2)
Primary specialty
Specialty Pharmacy 3336S0011X
License
114507 (AL)
Legal business name
VANDERBILT UNIVERSITY MEDICAL CENTER
Practice address
726 Melrose Ave
Nashville, TN 37211-2151
Phone
(615) 875-6000
Fax
(615) 242-1151
NPI assigned
Dec 10, 2014
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 21

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

Other NPIs with the same Medicare PAC ID 10

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

Practitioners 3,509

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,509

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TN

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 Hospital
Clarksville, TN · CCN 440035
Hospital 5% Or Greater Indirect Ownership Interest Dec 31, 2020
Vanderbilt Clarksville Hospital
Clarksville, TN · CCN 44T035
Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 31, 2020
Vanderbilt Stallworth Rehabilitation Hospital
Nashville, TN · CCN 443028
Hospital Limited Partnership Interest (49%) Apr 30, 2016
Vanderbilt Wilson County Hospital
Lebanon, TN · CCN 440193
Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Vanderbilt Tullahoma-Harton Hospital
Tullahoma, TN · CCN 440144
Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Bedford Hospital
Shelbyville, TN · CCN 440137
Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Home Care Services
Nashville, TN · CCN 447249
Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 30, 2016
Vanderbilt Primary Care Dover
Dover, TN · CCN 448914
Rural health clinic 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Vanderbilt Integrated Primary Care Unionville
Unionville, 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 Wartrace
Wartrace, 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 Shelbyville
Shelbyville, 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 Care
Shelbyville, 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 Street
Shelbyville, TN · CCN 443458
Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 9, 2020
Jan 1, 2021
Vanderbilt Pediatric Associates
Hopkinsville, KY · CCN B03840
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Vanderbilt Integrated Pediatrics
Tullahoma, 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-Lafayette
Lafayette, TN · CCN 883850
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vip Children'S Clinic - Springfield
Springfield, TN · CCN 883849
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vip Childrens Clinic-Pleasant View
Pleasant View, TN · CCN 883848
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vanderbilt Integrated Internal Medicine Cedar Lane
Tullahoma, 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 Medicine
Tullahoma, 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 Health
Tullahoma, TN · CCN 883960
Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Sep 1, 2020
May 1, 2021

Medicare enrollment records

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

National Provider Directory

Locations

Dept AT 40224
Atlanta, GA 31192

726 Melrose Ave
Nashville, TN 37211
Phone (615) 322-6480

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X A9-0001840 DE
Specialty Pharmacy 3336S0011X 114507 AL Yes
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 identifiers

IdentifierTypeStateIssuer
2149461OtherPK
7100526920MedicaidKY
Q032348MedicaidTN

Other names

  • Vanderbilt Integrated Pharmacy Doing business as

Other providers in Nashville, TN

All providers in Nashville, TN · Specialty Pharmacy in Tennessee

Sources for this page

Verify at the official NPI Registry.