1952607368 NPI number — TENNESSEE ONCOLOGY PHARMACY DISPENSING

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952607368 NPI number — TENNESSEE ONCOLOGY PHARMACY DISPENSING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TENNESSEE ONCOLOGY PHARMACY DISPENSING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952607368
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 440553
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37244-0553
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-329-0570
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 NATCHEZ PARK DR
Provider Second Line Business Practice Location Address:
STE 103
Provider Business Practice Location Address City Name:
DICKSON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37055-9013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-740-7025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ALEXANDER
Authorized Official First Name:
WARREN
Authorized Official Middle Name:
W
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
615-986-4102

Provider Taxonomy Codes

  • Taxonomy code: 332900000X , with the licence number:  9498 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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