Landon Kyle Headrick, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

36064 Issued in TN

Practice address

3106 Miller Ave Ste 101
Crossville, TN 38555

Phone

(931) 456-0680

Fax

(931) 456-4857

NPI assigned

Oct 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cumberland Special Care Pharmacy LLC

  dba Cumberland Vital Care

  • Community/Retail Pharmacy
  • Crossville, TN
  • NPI 1215319892
  NPD Authorized official
• Cumberland Special Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Crossville, TN
  • NPI 1750970968
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1851063267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 MILLER AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-456-0680",
            "fax_number": "931-456-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 MILLER AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-456-0680",
            "fax_number": "931-456-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "LANDON",
        "middle_name": "KYLE",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicks Hasley
• Kristel L Hassler, C.P.N.P
• David E Haverly, DPM
• Courtney Ann Havrilek
• Jessica Hayes, FNP
• Jennifer Heady, PHARMD
• Wendy Stout Henderson, NP-C
• Mark Neal Hendrixson, MD
• Meghan Lynn Henry, RDN
• Paul Edward Henson III, MD

• Pharmacist in Crossville, TN
• Providers in Crossville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.