Organization
MEDICAL CENTER PHARMACY INC
Active
Organization
MEDICAL CENTER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SHANNON MOORE (OWNER)
(423) 472-5548
Entity
Organization
Contact information
Practice address
2401 N OCOEE ST, SUITE 301, CLEVELAND, TN 37311-3853
(423) 472-5548
(423) 472-5548
Mailing address
PO BOX 3240, CLEVELAND, TN 37320-3240
(423) 472-5548
(423) 472-5548
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128150001
MEDICARE PTAN
—
05
—
3524217
—
TN
Enumeration date
03/17/2016
Last updated
03/17/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up