Cavalier Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4823 Issued in TN

Legal business name

CAVALIER PHARMACY LLC

Doing business as

Cavalier Pharmacy

Practice address

8 N Cavalier Dr
Suite a
Alamo, TN 38001-6468

Phone

(731) 696-4000

Fax

(731) 696-4050

NPI assigned

Nov 9, 2010

Last updated

Mar 31, 2023By 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

Derek Holyfield, PHARM. DNPI 1225011455

Title

Managing Member

Phone

(731) 692-3578

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Cavalier Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Derek Holyfield, PHARM. D

  • Pharmacist
  • Dyer, TN
  • NPI 1225011455
  Authorized official Same address or phone

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1760783641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N CAVALIER DR",
            "address_2": "SUITE A",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380016468",
            "telephone_number": "731-696-4000",
            "fax_number": "731-696-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N CAVALIER DR",
            "address_2": "SUITE A",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380016468",
            "telephone_number": "731-696-4000",
            "fax_number": "731-696-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "HOLYFIELD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "731-692-3578",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4823",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavalier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cavalier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Annette Burczak, RN
• Kristin Lea Byrd, APN
• Kaylan Ross Campbell
• James Carver
• Cavalier Medical Supply LLC
• Megan Chapman, FNP
• City of Alamo Superintendent of Schools
• Donna Paige Clement, APN
• County of Crockett (Crockett County Ambulance Service)
• Crockett County Nursing Home, Inc.

• Community/Retail Pharmacy in Alamo, TN
• Providers in Alamo, 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 Mar 31, 2023; 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.