Tennessee CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

0000001115 Issued in TN

Legal business name

TENNESSEE CVS PHARMACY LLC

Practice address

110 Majestic Grove Rd
Knoxville, TN 37920-6611

Phone

(865) 573-7901

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #03743 Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

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

Tax ID family

CVS 08427127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Martin, TN
  • NPI 1639533979
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Knoxville, TN
  • NPI 1679676373
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Knoxville, TN
  • NPI 1689256836
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Chattanooga, TN
  • NPI 1689696338
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Kingsport, TN
  • NPI 1700989159
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Jasper, TN
  • NPI 1700989415
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Savannah, TN
  • NPI 1710232814
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Collierville, TN
  • NPI 1710909460
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Paris, TN
  • NPI 1750781894
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Maryville, TN
  • NPI 1770505422
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Athens, TN
  • NPI 1770686479
  NPD tax ID
• Tennessee CVS Pharmacy LLC

  • Pharmacy
  • Signal Mountain, TN
  • NPI 1770686487
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1750484457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAJESTIC GROVE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206611",
            "telephone_number": "865-573-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000001115",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4403907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #03743",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC
• Tennessee CVS Pharmacy LLC

• All providers in Knoxville, TN
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.