Organization Active NPI

Cumberland Special Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Crossville, TN
National Provider Identifier
1750970968
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CUMBERLAND SPECIAL CARE PHARMACY LLC
Practice address
3106 Miller Ave Ste 101
Crossville, TN 38555-6118
Phone
(931) 456-0680
Fax
(931) 456-4857
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Landon HeadrickNPI 1851063267
Title
Owner
Phone
(931) 456-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3106 Miller Ave Ste 101
Crossville, TN 38555-6118

Mailing address

3106 Miller Ave
Crossville, TN 38555-6118
Phone (931) 456-0680

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Special Care Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3106 Miller Ave
Crossville, TN 38555

3106 Miller Ave
Ste 101
Crossville, TN 38555
Phone (931) 456-0680

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1750970968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 MILLER AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556118",
            "telephone_number": "931-456-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 MILLER AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556118",
            "telephone_number": "931-456-0680",
            "fax_number": "931-456-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND SPECIAL CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "HEADRICK",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-456-0680"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.