Provider Demographics
NPI:1366457962
Name:NASHVILLE PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:NASHVILLE PHARMACY SERVICES LLC
Other - Org Name:NASHVILLE PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-371-1210
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37024-0157
Mailing Address - Country:US
Mailing Address - Phone:615-371-1210
Mailing Address - Fax:615-371-1270
Practice Address - Street 1:719 THOMPSON LN STE 57100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3631
Practice Address - Country:US
Practice Address - Phone:615-371-1210
Practice Address - Fax:615-371-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TN00000035803336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2093168OtherPK
3910016Medicare PIN
4421830001Medicare NSC