MEDICARE: SUMNER HOMECARE PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	408	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4431108	OTHER		NCPDP

General Provider Information

NPI Number	:	1083697999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMNER HOMECARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	200 CUMBERLAND BND
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37228-1804
Country	:	US
Telephone Number	:	615-312-9880
Fax Number	:	615-320-5418

Provider Business Practice Location Address
First Line	:	300 STEAM PLANT RD
Second Line	:	SUITE 104
City	:	GALLATIN
State	:	TN
Zip	:	37066-3032
Country	:	US
Telephone Number	:	615-230-3122
Fax Number	:	615-230-3124

Authorized Official
Title or Position	:	EXEC VP METRO MEDICAL PARTNERS INC
Name	:	MR. FLORIS H TOMPKINS III
Credential	:
Telephone Number	:	615-312-9880

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	08/22/2020

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Directions to “SUMNER HOMECARE PHARMACY LLC ” Practice Location

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