Provider Demographics
NPI:1821876301
Name:UNIVERSITY HEALTH SYSTEM INC
Entity Type:Organization
Organization Name:UNIVERSITY HEALTH SYSTEM INC
Other - Org Name:UNIVERSITY MEDICATION MANAGEMENT CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-305-6427
Mailing Address - Street 1:1928 ALCOA HWY STE B100
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1506
Mailing Address - Country:US
Mailing Address - Phone:865-305-6333
Mailing Address - Fax:865-305-6298
Practice Address - Street 1:1928 ALCOA HWY STE B100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1506
Practice Address - Country:US
Practice Address - Phone:865-305-6333
Practice Address - Fax:865-305-4838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty