Organization
MEDICAL CENTER PHARMACY INC
Active
Organization
MEDICAL CENTER PHARMACY INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SHANNON MOORE (OWNER)
(423) 476-5548
Entity
Organization
Contact information
Practice address
2401 N OCOEE ST, CLEVELAND, TN 37311-3853
(423) 476-5547
(423) 472-0125
Mailing address
PO BOX 3240, CLEVELAND, TN 37320-3240
(423) 476-5547
(423) 244-2510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00000187
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095240
PK
—
05
—
3524217
—
TN
Enumeration date
11/17/2006
Last updated
05/07/2025
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