Provider Demographics
NPI:1801369947
Name:MUNSEY ENTERPRISES INC
Entity type:Organization
Organization Name:MUNSEY ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:MUNSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:865-483-8429
Mailing Address - Street 1:106 ADMINISTRATION RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6954
Mailing Address - Country:US
Mailing Address - Phone:865-483-8429
Mailing Address - Fax:865-483-7070
Practice Address - Street 1:106 ADMINISTRATION RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6954
Practice Address - Country:US
Practice Address - Phone:865-483-8429
Practice Address - Fax:865-483-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1512262Medicaid