Vanderbilt Health Pharmacy Group

LBN: Vanderbilt Health Pharmacy Group Llc
Vanderbilt Health Pharmacy Group is an health care organization with primary practice located at 718 Melrose Ave , Nashville TN 37211-2151. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Vanderbilt Health Pharmacy Group Llc can be contacted via phone (888) 666-4992, or through Manfred, Jim via phone (615) 322-4775.

Contact Information

Primary practice address
718 Melrose Ave Nashville TN 37211-2151
Fax: (615) 242-1151
Website:
Authorized official contact:
Name: Manfred, Jim

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PCN.0003470 Connecticut
Suppliers / Specialty Pharmacy 3336S0011X 6012 Tennessee
Suppliers / Specialty Pharmacy 3336S0011X 036.0134164 Vermont
Suppliers / Specialty Pharmacy 3336S0011X 16879/7.1 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X NRP.022861300-03 Ohio
Suppliers / Specialty Pharmacy 3336S0011X 2018004878 Missouri
Suppliers / Specialty Pharmacy 3336S0011X TN2291 Kentucky
Suppliers / Specialty Pharmacy 3336S0011X 0214002042 Virginia
Suppliers / Specialty Pharmacy 3336S0011X 265500 Minnesota
Suppliers / Specialty Pharmacy 3336S0011X NR-51511 Wyoming
Suppliers / Specialty Pharmacy 3336S0011X 64002467A Indiana
Suppliers / Specialty Pharmacy 3336S0011X PHNR001396 Georgia
Suppliers / Specialty Pharmacy 3336S0011X 054.020796 Illinois
Suppliers / Specialty Pharmacy 3336S0011X PHA-MOP-LIC-52476 Montana
Suppliers / Specialty Pharmacy 3336S0011X OSP.0007118 Colorado

Profile Details

NPI number 1962922435
LBN Legal business name Vanderbilt Health Pharmacy Group Llc
DBA Doing business as Vanderbilt Health Pharmacy Group
Authorized official Manfred, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Jul 19th, 2018 - about 6 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 1962922435 NPPES
Tennessee MEDICAID Q034038
Tennessee Other 2170126

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