OrganizationActive
Southerrn Home Infusion Pharmacy
NPI 1093982621 · Parenteral & Enteral Nutrition Supplies (DME) · White Pine, TN
Provider details
- NPI number
- 1093982621
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Wesley Cowan, Chief Pharmacist(865) 674-6700
- License
- 2342 (TN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1721 Main Street
White Pine, TN 37890
Phone: (865) 674-6700
Fax: (865) 674-6704
Street-level locationGet directions
Mailing address
Po Box 670
White Pine, TN 37890
Registry dates
- Enumerated
- 2008-05-13
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.