NPIMap

Organization Active NPI

Vanderbilt University Medical Center

Doing business as Vanderbilt Health Pharmacy

  • Pharmacy
  • Nashville, TN
National Provider Identifier
1932352283
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4593 Issued in TN
Legal business name
VANDERBILT UNIVERSITY MEDICAL CENTER
Doing business as
Vanderbilt Health Pharmacy
Practice address
719 Thompson LN
Suite 24130
Nashville, TN 37204-3609
Phone
(615) 322-2688
Fax
(615) 322-0808
NPI assigned
Oct 30, 2008
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Cecelia Moore
Title
Cfo and Treasurer
Phone
(615) 322-0084

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4593 TN Primary
Clinic Pharmacy 3336C0002X
Institutional Pharmacy 3336I0012X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

719 Thompson LN
Suite 24130
Nashville, TN 37204-3609

Mailing address

726 Melrose Ave
Nashville, TN 37211-2151

Other identifiers 3

IdentifierTypeStateIssuer
Q032531MedicaidTN
2118325OtherPK
7100526940MedicaidKY

Other names 1

  • Vanderbilt Health Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241126003194 TN Part B Supplier - Pharmacy 5092023416 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN
O20250410001492 TN DME Supplier - Pharmacy 5092023416 Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 10

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0862963Vanderbilt University Medical Center719 Thompson Lane Ste 26300, Nashville, TN 37204AccreditationJul 18, 2028
44D1093376Vanderbilt University Medical Center719 Thompson Lane Ste 23146, Nashville, TN 37204Provider-performed microscopyDec 16, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vanderbilt University Medical Ctr719 Thompson LN, Nashville, TN 37204-4677(615) 322-2688 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Vanderbilt Medical Group13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

719 Thompson Ln
Ste 24130
Nashville, TN 37204
Phone (615) 322-2688

Ownership & related parties

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vanderbilt Clarksville HospitalClarksville, TN, CCN 440035 Hospital 5% Or Greater Indirect Ownership Interest Dec 31, 2020
Vanderbilt Clarksville HospitalClarksville, TN, CCN 44T035 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 31, 2020
Vanderbilt Stallworth Rehabilitation HospitalNashville, TN, CCN 443028 Hospital Limited Partnership Interest (49%) Apr 30, 2016
Vanderbilt Wilson County HospitalLebanon, TN, CCN 440193 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN, CCN 440144 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 9, 2020
Jan 1, 2021
Vanderbilt Bedford HospitalShelbyville, TN, CCN 440137 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 9, 2020
Jan 1, 2021
Vanderbilt Home Care ServicesNashville, TN, CCN 447249 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 30, 2016
Vanderbilt Primary Care DoverDover, TN, CCN 448914 Rural health clinic 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Vanderbilt Integrated Primary Care UnionvilleUnionville, TN, CCN 443456 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 9, 2020
Jan 1, 2021
Vanderbilt Integrated Primary Care WartraceWartrace, TN, CCN 443455 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 9, 2020
Jan 1, 2021
Vanderbilt Integrated Primary Care ShelbyvilleShelbyville, TN, CCN 443454 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2021
Jan 1, 2021
Vanderbilt Integrated Urgent CareShelbyville, TN, CCN 443457 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 9, 2020
Jan 1, 2021
Vanderbilt Integrated Primary Care Madison StreetShelbyville, TN, CCN 443458 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 9, 2020
Jan 1, 2021
Vanderbilt Pediatric AssociatesHopkinsville, KY, CCN B03840 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2020
Vanderbilt Integrated PediatricsTullahoma, TN, CCN 883853 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2020
May 1, 2021
Vip Children's Clinic-LafayetteLafayette, TN, CCN 883850 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vip Children's Clinic - SpringfieldSpringfield, TN, CCN 883849 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vip Childrens Clinic-Pleasant ViewPleasant View, TN, CCN 883848 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
Vanderbilt Integrated Internal Medicine Cedar LaneTullahoma, TN, CCN 883959 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2020
Dec 1, 2023
Vanderbilt Integrated Internal MedicineTullahoma, TN, CCN 883958 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2020
Dec 1, 2023
Vanderbilt Integrated Center for Women's HealthTullahoma, TN, CCN 883960 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 1, 2020
May 1, 2021

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Practitioners & affiliated clinicians

Practitioners 4

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": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1932352283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 MELROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LN",
            "address_2": "SUITE 24130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043609",
            "telephone_number": "615-322-2688",
            "fax_number": "615-322-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "CFO AND  TREASURER",
        "authorized_official_telephone_number": "615-322-0084"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "4593",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032531",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100526940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.