Active NPI
Oak Ridge Pharmacy
- Pharmacy
- Oak Ridge, TN
National Provider Identifier
1194388702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- OAK RIDGE PHARMACY
- Practice address
- 854 Main St W
Oak Ridge, TN 37830 - Phone
- (865) 482-0345
- NPI assigned
- Apr 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saad Aqqad, PHARM D
- Title
- Owner/Pic
- Phone
- (865) 482-0345
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
854 Main St W
Oak Ridge, TN 37830
Mailing address
854 Main Street West
Oak Ridge, TN 37830
Phone (865) 482-0345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6696 | Other | TN | BOARD OF PHARMACY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190917002903 | TN | Part B Supplier - Pharmacy | 6507195591 | Practice locations: Oak Ridge, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Oak Ridge Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Oak Ridge, TN
- NPI 1912781246
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Knoxville, TN
- NPI 1750661476
-
- Child & Adolescent Psychiatry Physician
- Atlanta, GA
- NPI 1801068507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562198400000",
"number": "1194388702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 MAIN STREET WEST",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-482-0345",
"fax_number": "865-482-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 MAIN ST W",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-482-0345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK RIDGE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2019-07-04",
"status": "A",
"authorized_official_last_name": "AQQAD",
"authorized_official_first_name": "SAAD",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "865-482-0345",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE NUMBER",
"identifier": "6696",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.