Clarksville Pain Institute, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5386 Issued in KY

Legal business name

CLARKSVILLE PAIN INSTITUTE, LLC

Doing business as

Cox Family Pharmacy

Practice address

1849 Madison St
Clarksville, TN 37043-4903

Phone

(931) 802-6825

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Cox

Title

Owner

Phone

(931) 802-6825

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cox Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1710395116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WILDWOOD TRL",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318232",
            "telephone_number": "502-939-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434903",
            "telephone_number": "931-802-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE PAIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-802-6825"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cox Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarksville Operating Group LLC
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• Clarksville Oral and Facial Surgery, PLLC
• Clarksville Orthopedics, PLC
• Clarksville Pain Institute, LLC
• Clarksville Pediatric Dentistry, PC
• Clarksville Pharmacy I LLC (Andy's Pharmacy)
• Clarksville Pharmacy I LLC (Andy's Pharmacy)
• Clarksville Physical Medicine PLLC
• Clarksville Physician Services LLC (Vanderbilt Physician Services Clarksville)

• Community/Retail Pharmacy in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.