Organization Active NPI

Vanderbilt University

Doing business as Medical Center East Pharmacy

  • Community/Retail Pharmacy
  • Nashville, TN
National Provider Identifier
1740203140
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
976 Issued in TN
Legal business name
VANDERBILT UNIVERSITY
Doing business as
Medical Center East Pharmacy
Practice address
1215 21St Ave S Ste 1006
Nashville, TN 37232-0014
Phone
(615) 936-1040
Fax
(615) 936-2289
NPI assigned
Jul 26, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Walt Woods
Title
Assist Director, Pharmacy
Phone
(615) 322-4775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 976 TN Primary
Specialty Pharmacy 3336S0011X 976 TN

Addresses

Primary practice location

1215 21St Ave S Ste 1006
Nashville, TN 37232-0014

Mailing address

Dept at 40224
Atlanta, GA 31192-0224
Phone (615) 343-6421

Other identifiers 3

IdentifierTypeStateIssuer
9449521MedicaidTN
976OtherTNTN PHARMACY LICENSE
4424850OtherNCPDP

Other names 1

  • Medical Center East Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1215 21st Ave S
Ste 1006
Nashville, TN 37232
Phone (615) 322-0804

Practitioners & affiliated clinicians

Practitioners 1

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": "1529539200000",
    "number": "1740203140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT AT 40224",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311920224",
            "telephone_number": "615-343-6421",
            "fax_number": "615-936-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S STE 1006",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320014",
            "telephone_number": "615-936-1040",
            "fax_number": "615-936-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "WALT",
        "authorized_official_title_or_position": "ASSIST DIRECTOR, PHARMACY",
        "authorized_official_telephone_number": "615-322-4775"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "976",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9449521",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN PHARMACY LICENSE",
            "identifier": "976",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4424850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center East 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 Jun 21, 2018; 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.