Healthcare Provider Details

I. General information

NPI: 1275381949
Provider Name (Legal Business Name): NASHVILLE PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W PARK DR STE 2A
KINGSPORT TN
37660-3805
US

IV. Provider business mailing address

278 FRANKLIN RD STE 330
BRENTWOOD TN
37027-3302
US

V. Phone/Fax

Practice location:
  • Phone: 423-251-6702
  • Fax: 423-251-6708
Mailing address:
  • Phone: 615-371-1210
  • Fax: 844-769-4941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN HARTMAN
Title or Position: HR AND COMPLIANCE COORDINATOR
Credential:
Phone: 615-371-1210