Seymour Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SEYMOUR PHARMACY INC.

Doing business as

DBA Seymour Advalue Pharmacy

Practice address

10721 Chapman Hwy
Suite 6
Seymour, TN 37865-4765

Phone

(865) 577-0471

NPI assigned

Feb 27, 2007

Last updated

Mar 25, 2025By 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

Mr. Bobby Joe Graham Sr., PHARM.D

Title

Owner

Phone

(865) 577-0471

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DBA Seymour Advalue Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1063549863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY",
            "address_2": "SUITE 6",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654765",
            "telephone_number": "865-577-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY",
            "address_2": "SUITE 6",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654765",
            "telephone_number": "865-577-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-577-0471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "2280",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452075",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NO.",
            "identifier": "4426640",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Seymour Advalue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Seymour Pharmacy Inc. (Seymour Advalue Pharmacy)
• Amanda Sherrod
• Thomas Daniel Shirley
• Lisa Nicole Simcox, R.N.
• Brittany R. Simpson, FNP

• Community/Retail Pharmacy in Seymour, TN
• Providers in Seymour, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.