Organization Active NPI

Cave's Drug Store Inc.

Doing business as Caves Drug Store

  • Community/Retail Pharmacy
  • Kingsport, TN
National Provider Identifier
1811015928
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000000511 Issued in TN
Legal business name
CAVE'S DRUG STORE INC.
Doing business as
Caves Drug Store
Practice address
1328 S JB Dennis Hwy Ste a
Kingsport, TN 37660-5495
Phone
(423) 245-1341
Fax
(423) 245-1164
NPI assigned
Mar 27, 2007
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
William Cave, RPH
Title
Owner/RPH/Ao
Phone
(423) 245-1341

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000000511 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1328 S JB Dennis Hwy Ste a
Kingsport, TN 37660-5495

Mailing address

1328 S JB Dennis Hwy Ste a
Kingsport, TN 37660-5495
Phone (423) 245-1341

Other identifiers 2

IdentifierTypeStateIssuer
1811015928MedicaidTN
2095610OtherPK

Other names 1

  • CAVES DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151002000973 TN DME Supplier - Pharmacy 6507174091 Practice locations: Kingsport, TN
O20210310001721 TN Part B Supplier - Mass Immunization (Roster Biller Only) 6507174091 Practice locations: Kingsport, TN

National Provider Directory

National Provider Directory

Locations

1328 S John B Dennis Hwy
#B
Kingsport, TN 37660
Phone (423) 245-1341

1328 S John B Dennis Hwy
Ste A
Kingsport, TN 37660
Phone (423) 245-1341

Practitioners & affiliated clinicians

Practitioners 2

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1811015928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 S JB DENNIS HWY STE A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605495",
            "telephone_number": "423-245-1341",
            "fax_number": "423-245-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 S JB DENNIS HWY STE A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605495",
            "telephone_number": "423-245-1341",
            "fax_number": "423-245-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVE'S DRUG STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CAVE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/RPH/AO",
        "authorized_official_telephone_number": "423-245-1341",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000511",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811015928",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAVES DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.