Sale Creek Pharmacy, Inc
Organization Active NPI Compounding Pharmacy · Sale Creek, TN
NPI 1184977282 · NPPES record last updated Feb 28, 2013
Key facts
- NPI
- 1184977282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Compounding Pharmacy 3336C0004X
- Legal business name
- SALE CREEK PHARMACY, INC
- Practice address
- 14821 Dayton Pike
Suite 115
Sale Creek, TN 37373 - Phone
- (423) 486-9404
- Fax
- (423) 486-9434
- NPI assigned
- Oct 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Jarrett Swafford, PHARMD
- Title
- Owner
- Phone
- (423) 486-9404
Practitioners 1
-
Jarrett Swafford, PHARM D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| First Care Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130702000436 | TN | Part B Supplier - Pharmacy | 5991945628 | Practice locations: Sale Creek, TN |
| O20130910000477 | TN | DME Supplier - Pharmacy | 5991945628 | Practice locations: Sale Creek, TN |
National Provider Directory
Locations
14821 Dayton Pike
Ste 115
Sale Creek, TN 37373
Phone (423) 486-9404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | Yes |
Addresses
Primary practice location
14821 Dayton Pike
Suite 115
Sale Creek, TN 37373
Mailing address
PO Box 646
Sale Creek, TN 37373-0646
Phone (423) 486-9404
Other names
- First Care Pharmacy
Other providers in Sale Creek, TN
- Brook Janette Knight
- Ryan Danielle Miller
- Monyei Holdings Inc
- Whitney Lititia Ross
- Sale Creek Family Practice, PLLC
- Sale Creek Primary Care, PLLC
- Jarrett Swafford
- Micayla Grace Thompson
- Samuel Zitnyar
All providers in Sale Creek, TN · Compounding Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.