Medical Center Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00000187 Issued in TN

Legal business name

MEDICAL CENTER PHARMACY INC

Doing business as

MEDICAL CENTER PHARMACY

Practice address

2401 N Ocoee St
Cleveland, TN 37311-3853

Phone

(423) 476-5547

Fax

(423) 472-0125

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Joe Shannon Moore

Title

Owner

Phone

(423) 476-5548

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medical Center Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, TN
  • NPI 1033277447

  1850466004

  Same PAC ID

Tax ID family

Medical Center Pharm THHC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medical Center Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, TN
  • NPI 1033277447
  NPD tax ID
• Medical Center Pharmacy Inc

  • Health Service Clinic/Center
  • Cleveland, TN
  • NPI 1497116529
  NPD tax ID

Practitioners 1

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

• Teresa E Griffith, M.D.

  • Anesthesiology Physician
  • Alpena, MI
  • NPI 1730279571
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1841364379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3240",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203240",
            "telephone_number": "423-476-5547",
            "fax_number": "423-244-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113853",
            "telephone_number": "423-476-5547",
            "fax_number": "423-472-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-476-5548"
    },
    "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": "00000187",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3524217",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Med-Trans Corporation
• Linda Kathryn Medford, RN, WHNP-C
• Medi Mart Pharmacy
• Medical Center Pharmacy Inc
• Medical Center Pharmacy Inc
• Keith Bernard Medley, PHARMD
• Medstride PLLC
• Jesus M Melendez, APN
• Marilyn Janisse Mercado Giusti, PSY D
• Karly Messenger, OT

• Community/Retail Pharmacy in Cleveland, TN
• Providers in Cleveland, 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 May 7, 2025; 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.