Infinity LTC Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

INFINITY LTC PHARMACY INC

Practice address

1080 Neal St Ste 104
Cookeville, TN 38501-0942

Phone

(931) 520-1001

Fax

(931) 520-1345

NPI assigned

Jun 25, 2015

Last updated

Oct 11, 2022By 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

Keri Gibbs

Title

Pharmacist-in-Charge

Phone

(931) 520-1001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1760864748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NEAL ST STE 104",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010942",
            "telephone_number": "931-520-1001",
            "fax_number": "931-520-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NEAL ST STE 104",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010942",
            "telephone_number": "931-520-1001",
            "fax_number": "931-520-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY LTC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "931-520-1001"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.