Beverly Park Pharmacy
LBN: Beverly Park Pharmacy
Beverly Park Pharmacy is an health care organization with primary practice located at 5321 Beverly Park Cir , Knoxville TN 37918-9253. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Beverly Park Pharmacy can be contacted via phone (865) 246-4034, or through Stevens, Terry via phone (865) 246-4034.
Contact Information
Primary practice address
5321 Beverly Park Cir
Knoxville TN 37918-9253
Phone: (865) 246-4034
Fax: (865) 246-4081
Website:
Authorized official contact:
Name: Stevens, Terry Doctor of Public Health (DPH)
Phone: (865) 246-4034
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 4030 | Tennessee |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1174691901 |
|---|---|
| LBN Legal business name | Beverly Park Pharmacy |
| DBA Doing business as | |
| Authorized official | Stevens, Terry Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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 | 1174691901 | NPPES |
| Tennessee | MEDICAID | 4437566 | |
| Tennessee | Other | 4437566 |
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