Smoky Mountain Home Infusion Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

4512 Issued in TN

Legal business name

SMOKY MOUNTAIN HOME INFUSION INC

Doing business as

Smoky Mountain Home Infusion

Practice address

250 Middle Creek Rd
Sevierville, TN 37862-3944

Phone

(865) 453-2371

Fax

(865) 453-1946

NPI assigned

May 22, 2008

Last updated

Dec 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Pettis

Title

Pharmacist

Phone

(865) 712-0133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smoky Mountain Home Infusion Doing business as

Locations

Practitioners 1

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.

• Jeffrey Alan Pettis, PHARMD

  • Pharmacist
  • Sevierville, TN
  • NPI 1144368218
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1033376389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5560",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378645560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623944",
            "telephone_number": "865-453-2371",
            "fax_number": "865-453-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN HOME INFUSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "865-712-0133"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TN",
            "license": "4512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4442769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smoky Mountain Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan O. Smith, BA
• Stephanie K Smith, FNP-BC
• Steven M Smith, M.D.
• Smokey Mountain Audiology & Hearing AIDS Inc
• Smoky Mountain Children's Home
• Smoky Mountain Pharmacy
• Smoky Mountain Urgent Care
• Harold Soles, CRNA
• Soni Dental Excellence, PLLC (Sevierville Smiles)
• Anuj Soni, DDS

• Home Infusion Therapy Pharmacy in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Home Infusion Therapy Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.