Advanced Specialty Pharmacy of Knoxville, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

4499 Issued in TN

Legal business name

ADVANCED SPECIALTY PHARMACY OF KNOXVILLE, LLC

Practice address

9947 Kingston Pike
Knoxville, TN 37922-6923

Phone

(865) 909-9713

Fax

(865) 909-9397

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Charles R WallNPI 1770792871

Title

Owner

Phone

(865) 909-9713

Specialties & licenses 1

Addresses

Other names 1

• Heartland Apothecary Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Ray Wall, RPH

  • Pharmacist
  • Bessemer, AL
  • NPI 1770792871
  NPD Authorized official
• Ben Smith

  • Neurology Physician
  • Lexington, KY
  • NPI 1467849323
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1104057579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9947 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226923",
            "telephone_number": "865-909-9713",
            "fax_number": "865-909-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9947 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226923",
            "telephone_number": "865-909-9713",
            "fax_number": "865-909-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPECIALTY PHARMACY OF KNOXVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-909-9713",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Medical Technologies, Inc.
• Advanced Pain Therapeutics
• Advanced Pain Therapeutics of Knoxville, TN LLC
• Advanced Physical Therapy of Knoxville, Inc.
• Advanced Rehabilitation & Pain Managemen
• Advanced Surgical Wound Center PLLC
• Advantage Family Healthcare, PLLC
• Advantage Family Healthcare, PLLC
• Adventa Hospice, Inc.
• Adventa Hospice, LLC

• Pharmacy in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.