Organization Active NPI

Wells Drugs Inc

Doing business as Riggs Drug Jacksboro

  • Community/Retail Pharmacy
  • Jacksboro, TN
National Provider Identifier
1043606452
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3585 Issued in TN
Legal business name
WELLS DRUGS INC
Doing business as
Riggs Drug Jacksboro
Practice address
2636 Jacksboro Pike
Jacksboro, TN 37757-4848
Phone
(423) 566-1967
Fax
(423) 566-1797
NPI assigned
Apr 13, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Chuck Wells
Title
Owner
Phone
(423) 566-1967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3585 TN Primary

Addresses

Primary practice location

2636 Jacksboro Pike
Jacksboro, TN 37757-4848

Mailing address

PO Box 100
Jacksboro, TN 37757-0100
Phone (423) 566-1967

Other identifiers 1

IdentifierTypeStateIssuer
2151662OtherPK

Other names 1

  • Riggs Drug Jacksboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riggs Drug Jacksboro2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1043606452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377570100",
            "telephone_number": "423-566-1967",
            "fax_number": "423-566-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574848",
            "telephone_number": "423-566-1967",
            "fax_number": "423-566-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-566-1967"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riggs Drug Jacksboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.