Beverly Park Pharmacy

LBN: Beverly Park Pharmacy
Beverly Park Pharmacy is an health care organization with primary practice located at 5321 Beverly Park Cir , Knoxville TN 37918-9253. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Beverly Park Pharmacy can be contacted via phone (865) 246-4034, or through Stevens, Terry via phone (865) 246-4034.

Contact Information

Primary practice address
5321 Beverly Park Cir Knoxville TN 37918-9253
Phone: (865) 246-4034
Fax: (865) 246-4081
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Terry Doctor of Public Health (DPH)
Phone: (865) 246-4034

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4030 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1174691901
LBN Legal business name Beverly Park Pharmacy
DBA Doing business as
Authorized official Stevens, Terry Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174691901 NPPES
Tennessee MEDICAID 4437566
Tennessee Other 4437566

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