Active NPI
Cave's Drug Store Inc.
Doing business as Caves Drug Store
- Community/Retail Pharmacy
- Kingsport, TN
National Provider Identifier
1811015928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000000511
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811015928 | Medicaid | TN | |
| 2095610 | Other | PK |
Other names 1
- CAVES DRUG STORE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Kingsport, TN
- NPI 1821688748
-
- Pharmacist
- Kingsport, TN
- NPI 1881586113
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.