Organization Active NPI

Town Creek Pharmacy, LLC

  • Community/Retail Pharmacy
  • Lenoir City, TN
National Provider Identifier
1144926338
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TOWN CREEK PHARMACY, LLC
Doing business as
Town Creek Pharmacy
Practice address
950 Highway 321 N Ste D
Lenoir City, TN 37771-6424
Phone
(865) 317-1045
Fax
(865) 317-1141
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Courtney Hunt, PHARM.D.NPI 1245759570
Title
Pharmacist in Charge
Phone
(865) 317-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

950 Highway 321 N Ste D
Lenoir City, TN 37771-6424

Mailing address

950 Highway 321 N Ste D
Lenoir City, TN 37771-6424
Phone (865) 317-1045

Other names 1

  • Town Creek Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919000833 TN Part B Supplier - Pharmacy 7719341189 Practice locations: Lenoir City, TN

National Provider Directory

National Provider Directory

Locations

950 Highway 321 N
Ste D
Lenoir City, TN 37771
Phone (865) 317-1045

950 Highway 321 N
Lenoir City, TN 37771
Phone (865) 317-1045

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1144926338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HIGHWAY 321 N STE D",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716424",
            "telephone_number": "865-317-1045",
            "fax_number": "865-317-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HIGHWAY 321 N STE D",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716424",
            "telephone_number": "865-317-1045",
            "fax_number": "865-317-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CREEK PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "865-317-1045",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Creek Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town Creek Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.