NPIMap

Organization Active NPI

Nashville Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Johnson City, TN
National Provider Identifier
1972015121
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6113 Issued in TN
Legal business name
NASHVILLE PHARMACY SERVICES LLC
Practice address
615 N State of Franklin Rd
Johnson City, TN 37604-8209
Phone
(423) 926-2644
Fax
(423) 926-2648
NPI assigned
Oct 27, 2017
Organization subpart
Yes
Parent organization
NASHVILLE PHARMACY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Kathryn Hartman
Title
HR and Compliance Coordinator
Phone
(615) 371-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6113 TN Primary

Addresses

Primary practice location

615 N State of Franklin Rd
Johnson City, TN 37604-8209

Mailing address

PO Box 157
Brentwood, TN 37024-0157
Phone (615) 371-1210

Other identifiers 2

IdentifierTypeStateIssuer
Q035513MedicaidTN
1972015121MedicaidVA

Other names 2

  • NPS Pharmacy TN03 Doing business as
  • NPS Pharmacy at ETSU Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119004690 TN Part B Supplier - Pharmacy 5294822904 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brentwood, TN; Johnson City, TN; Kingsport, TN; Nashville, TN

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nashville Pharmacy SVCS LLC9 organizations share this tax ID, including this one
Part of
Nashville Pharmacy SVCS LLC

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1972015121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370240157",
            "telephone_number": "615-371-1210",
            "fax_number": "844-769-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048209",
            "telephone_number": "423-926-2644",
            "fax_number": "423-926-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE PHARMACY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASHVILLE PHARMACY SERVICES LLC",
        "enumeration_date": "2017-10-27",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "HR AND COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "615-371-1210"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "6113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035513",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972015121",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPS Pharmacy TN03",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NPS Pharmacy at ETSU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.