Organization Active NPI

Vanderbilt University Medical Center

Doing business as Vanderbilt Childrens Hospital Pharmacy

  • Institutional Pharmacy
  • Nashville, TN
National Provider Identifier
1700800877
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5804 Issued in TN
Legal business name
VANDERBILT UNIVERSITY MEDICAL CENTER
Doing business as
Vanderbilt Childrens Hospital Pharmacy
Practice address
2200 Childrens Way
Room 2106a
Nashville, TN 37232-9650
Phone
(615) 936-6337
Fax
(615) 936-4531
NPI assigned
Jul 26, 2006
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X 5804 TN Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2200 Childrens Way
Room 2106a
Nashville, TN 37232-9650

Mailing address

726 Melrose Ave
Nashville, TN 37211-2151

Other identifiers 3

IdentifierTypeStateIssuer
2093997OtherPK
54007745MedicaidKY
Q033255MedicaidTN

Other names 1

  • Vanderbilt Childrens Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vanderbilt Medical Group13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2200 Childrens Way
Rm 2106A
Nashville, TN 37232
Phone (615) 343-6421

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1700800877",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CHILDRENS WAY",
            "address_2": "ROOM 2106A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329650",
            "telephone_number": "615-936-6337",
            "fax_number": "615-936-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TN",
            "license": "5804",
            "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": "2093997",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54007745",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033255",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt Childrens Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.