Organization Active NPI

Pigeon Forge Drugs

  • Community/Retail Pharmacy
  • Pigeon Forge, TN
National Provider Identifier
1073524625
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
681 Issued in TN
Legal business name
PIGEON FORGE DRUGS
Doing business as
Pigeon Forge Drugs
Practice address
3346 Parkway
Pigeon Forge, TN 37863-3423
Phone
(865) 453-5470
Fax
(865) 428-3677
NPI assigned
Aug 10, 2006
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Thomas Kimble, RPH
Title
Owner
Phone
(865) 453-5470

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 681 TN Primary

Addresses

Primary practice location

3346 Parkway
Pigeon Forge, TN 37863-3423

Mailing address

PO Box 147
Pigeon Forge, TN 37868-0147

Other identifiers 2

IdentifierTypeStateIssuer
4414758MedicaidTN
2088567OtherPK

Other names 1

  • PIGEON FORGE DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

3346 Parkway
Pigeon Forge, TN 37863
Phone (865) 453-5470

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1073524625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378680147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 PARKWAY",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633423",
            "telephone_number": "865-453-5470",
            "fax_number": "865-428-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGEON FORGE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-453-5470",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4414758",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIGEON FORGE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pigeon Forge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.