National Provider Identifier Database

CUMBERLAND SPECIAL CARE PHARMACY LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

CUMBERLAND SPECIAL CARE PHARMACY LLC
3106 MILLER AVE STE 101
CROSSVILLE, TN38555-6118
Phone: 931-456-0680
Fax: 931-456-4857
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for CUMBERLAND SPECIAL CARE PHARMACY LLC

NPI Number 1215319892
Legal business name
LBN
CUMBERLAND SPECIAL CARE PHARMACY LLC
Authorized official LANDON HEADRICK - (OWNER/PIC)
Entity Organization
Organization subpart No
Enumeration date 06/19/2015
Last updated 02/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 5708
  • TN Medicaid: Q020116
  • Other: 2157234 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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