Active NPI
Vanderbilt Health Pharmacy Group LLC
Doing business as Vanderbilt Health Pharmacy Group
- Specialty Pharmacy
- Nashville, TN
National Provider Identifier
1962922435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- OSP.0007118
- Legal business name
- VANDERBILT HEALTH PHARMACY GROUP LLC
- Doing business as
- Vanderbilt Health Pharmacy Group
- Practice address
- 718 Melrose Ave
Nashville, TN 37211-2151 - Phone
- (888) 666-4992
- Fax
- (615) 242-1151
- NPI assigned
- Jun 26, 2017
- Last updated
- Sep 19, 2025
- 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
- Jim Manfred
- Title
- Executive Director
- Phone
- (615) 322-4775
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PCN.0003470 | CT | |
| Specialty Pharmacy | 3336S0011X | 6012 | TN | |
| Specialty Pharmacy | 3336S0011X | 036.0134164 | VT | |
| Specialty Pharmacy | 3336S0011X | 16879/7.1 | MS | |
| Specialty Pharmacy | 3336S0011X | NRP.022861300-03 | OH | |
| Specialty Pharmacy | 3336S0011X | 2018004878 | MO | |
| Specialty Pharmacy | 3336S0011X | TN2291 | KY | |
| Specialty Pharmacy | 3336S0011X | 0214002042 | VA | |
| Specialty Pharmacy | 3336S0011X | 265500 | MN | |
| Specialty Pharmacy | 3336S0011X | NR-51511 | WY | |
| Specialty Pharmacy | 3336S0011X | 64002467A | IN | |
| Specialty Pharmacy | 3336S0011X | PHNR001396 | GA | |
| Specialty Pharmacy | 3336S0011X | 054.020796 | IL | |
| Specialty Pharmacy | 3336S0011X | PHA-MOP-LIC-52476 | MT | |
| Specialty Pharmacy | 3336S0011X | OSP.0007118 | CO | Primary |
Addresses
Primary practice location
718 Melrose Ave
Nashville, TN 37211-2151
Mailing address
718 Melrose Ave
Nashville, TN 37211-2151
Phone (888) 666-4992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2170126 | Other | PK | |
| Q034038 | Medicaid | TN |
Other names 1
- Vanderbilt Health Pharmacy Group
National Provider Directory
National Provider DirectoryLocations
718 Melrose Ave
Nashville, TN 37211
Phone (615) 343-3658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1962922435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 MELROSE AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112151",
"telephone_number": "888-666-4992",
"fax_number": "615-242-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 MELROSE AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112151",
"telephone_number": "888-666-4992",
"fax_number": "615-242-1151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANDERBILT HEALTH PHARMACY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MANFRED",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "615-322-4775"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CT",
"license": "PCN.0003470",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "TN",
"license": "6012",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "VT",
"license": "036.0134164",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MS",
"license": "16879/7.1",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "OH",
"license": "NRP.022861300-03",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MO",
"license": "2018004878",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "KY",
"license": "TN2291",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "VA",
"license": "0214002042",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MN",
"license": "265500",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "WY",
"license": "NR-51511",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "IN",
"license": "64002467A",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "GA",
"license": "PHNR001396",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "IL",
"license": "054.020796",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MT",
"license": "PHA-MOP-LIC-52476",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "CO",
"license": "OSP.0007118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2170126",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q034038",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vanderbilt Health Pharmacy Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vanderbilt Health Pharmacy Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nashville, TN
- Vanderbilt Community and Home Services
- Vanderbilt Community Mental Health Center
- Vanderbilt Community Mental Health Center
- Vanderbilt Community Mental Health Center
- Vanderbilt Health Clinicians, LLC
- Vanderbilt Heart and Vascular Institute
- Vanderbilt Home Care Services, LLC
- Vanderbilt Imaging Services, LLC (Vanderbilt Imaging Services Hillsboro)
- Vanderbilt Imaging Services, LLC (Vanderbilt Imaging Belle Meade)
- Vanderbilt Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.