Cumberland Vital Care

LBN: Cumberland Special Care Pharmacy Llc
Cumberland Vital Care is an health care organization with primary practice located at 3106 Miller Ave Ste 101 , Crossville TN 38555-6118. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cumberland Special Care Pharmacy Llc can be contacted via phone (931) 456-0680, or through Headrick, Landon via phone (931) 456-0680.

Contact Information

Primary practice address
3106 Miller Ave Ste 101 Crossville TN 38555-6118
Phone: (931) 456-0680
Fax: (931) 456-4857
Website:
Map and Directions
Authorized official contact:
Name: Headrick, Landon
Phone: (931) 456-0680

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 5708 Tennessee

Profile Details

NPI number 1215319892
LBN Legal business name Cumberland Special Care Pharmacy Llc
DBA Doing business as Cumberland Vital Care
Authorized official Headrick, Landon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2015
Last updated Feb 1st, 2021 - about 5 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 1215319892 NPPES
Tennessee MEDICAID Q020116
Tennessee Other 2157234

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