Healthcare Provider Details

I. General information

NPI: 1578491916
Provider Name (Legal Business Name): CARDINAL HEALTH 128 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 MASON RD
LA VERGNE TN
37086-3212
US

IV. Provider business mailing address

239 MASON RD
LA VERGNE TN
37086-3212
US

V. Phone/Fax

Practice location:
  • Phone: 866-835-6330
  • Fax: 614-652-0888
Mailing address:
  • Phone: 866-835-6330
  • Fax: 614-652-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. NAVEEN MANSUKHANI
Title or Position: VICE PRESIDENT, MANAGED SERVICES
Credential:
Phone: 732-328-0515