Provider Demographics
NPI:1528236007
Name:PARADIGM HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:PARADIGM HEALTHCARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUENKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-288-4037
Mailing Address - Street 1:2025 N MOUNT JULIET RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3934
Mailing Address - Country:US
Mailing Address - Phone:615-288-4037
Mailing Address - Fax:615-288-4061
Practice Address - Street 1:2025 N MOUNT JULIET RD STE 100
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3934
Practice Address - Country:US
Practice Address - Phone:615-288-4037
Practice Address - Fax:615-288-4061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X, 333600000X
TN37233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146830OtherPK