Apothecare Pharmacy of Morgan LLC
Organization Active NPI Community/Retail Pharmacy · Wartburg, TN
NPI 1013014331 · NPPES record last updated Aug 12, 2021
Key facts
- NPI
- 1013014331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0000003864 (TN)
- Legal business name
- APOTHECARE PHARMACY OF MORGAN LLC
- Practice address
- 1006 Main St
Wartburg, TN 37887-4150 - Phone
- (423) 346-7800
- Fax
- (423) 346-7875
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Lynn Hall
- Title
- Owner/Pic
- Phone
- (423) 346-7800
Practitioners 4
-
Jennifer Lynn Hall, PHARMD
-
Julie H Brown, PHARMD
-
Robert Dowell, FNP
-
Samantha Dale Williams Hensley, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2083371 | Apothecare Pharmacy | Certificate of waiver | Sep 3, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Apothecare Pharmacy of Morgan LLC |
Immunosuppressive Drugs|Nebulizer Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930031988 | TN | DME Supplier - Pharmacy | 6305052861 | Practice locations: Wartburg, TN |
| O20141106002319 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 6305052861 | Practice locations: Wartburg, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000003864 | TN | Yes |
Addresses
Primary practice location
1006 Main St
Wartburg, TN 37887-4150
Mailing address
PO Box 1279
Wartburg, TN 37887-1279
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q034042 | Medicaid | TN | |
| 4436413 | Other | OTHER ID NUMBER |
Other providers in Wartburg, TN
- Cynthia J Adkins
- Alisa Alexander
- Thomas G Allen
- Ambulatory Care Center of Wartburg Primary Care LLC
- Ambulatory Surgical Center of Wartburg
- Austin Geoffrey Bagingito
- Carol Lee Barnett
- April Michelle Barton
- BB Golden Care PLLC
- Donita Seiber Beard
All providers in Wartburg, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.