Cumberland Vital Care
LBN: Cumberland Special Care Pharmacy Llc
Cumberland Vital Care is an health care organization with primary practice located at 3106 Miller Ave Ste 101 , Crossville TN 38555-6118. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Cumberland Special Care Pharmacy Llc can be contacted via phone (931) 456-0680, or through Headrick, Landon via phone (931) 456-0680.
Contact Information
Primary practice address
3106 Miller Ave Ste 101
Crossville TN 38555-6118
Phone: (931) 456-0680
Fax: (931) 456-4857
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
Suppliers / Compounding Pharmacy | 3336C0004X | ||
Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 5708 | Tennessee |
Profile Details
NPI number | 1215319892 |
---|---|
LBN Legal business name | Cumberland Special Care Pharmacy Llc |
DBA Doing business as | Cumberland Vital Care |
Authorized official | Headrick, Landon |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 19th, 2015 |
Last updated | Feb 1st, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215319892 | NPPES |
Tennessee | MEDICAID | Q020116 | |
Tennessee | Other | 2157234 |
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