Healthcare Provider Details

I. General information

NPI: 1982961801
Provider Name (Legal Business Name): NASHVILLE PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 BROADWAY STREET
PADUCAH KY
42001
US

IV. Provider business mailing address

278 FRANKLIN RD STE 330
BRENTWOOD TN
37027-3302
US

V. Phone/Fax

Practice location:
  • Phone: 270-933-1960
  • Fax: 270-933-1963
Mailing address:
  • Phone: 615-831-2291
  • Fax: 844-769-4941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07497
License Number StateKY

VIII. Authorized Official

Name: KEVIN HARTMAN
Title or Position: OWNER
Credential: PHARM. D.
Phone: 615-371-1210