Organization Active NPI

Apothecare Pharmacy of Morgan LLC

  • Community/Retail Pharmacy
  • Wartburg, TN
National Provider Identifier
1013014331
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000003864 Issued in 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
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Lynn HallNPI 1235726266
Title
Owner/Pic
Phone
(423) 346-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000003864 TN Primary

Addresses

Primary practice location

1006 Main St
Wartburg, TN 37887-4150

Mailing address

PO Box 1279
Wartburg, TN 37887-1279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2083371Apothecare Pharmacy1006 Main Street, Wartburg, TN 37887Certificate of waiverSep 3, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Apothecare Pharmacy of Morgan LLC1006 Main St, Wartburg, TN 37887-4150(423) 346-7800 Immunosuppressive Drugs|Nebulizer Drugs Does not accept assignmentParticipating since May 1, 2003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1013014331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378871279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MAIN ST",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874150",
            "telephone_number": "423-346-7800",
            "fax_number": "423-346-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARE PHARMACY OF MORGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "423-346-7800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000003864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wartburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.