Organization Active NPI

Wilsons Sav-Mor Drugs LLC

  • Community/Retail Pharmacy
  • Newport, TN
National Provider Identifier
1205948213
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000001238 Issued in TN
Legal business name
WILSONS SAV-MOR DRUGS LLC
Doing business as
WILSONS SAV-MOR DRUGS
Wilson's Sav-Mor Drugs
Practice address
265 E Main St
Newport, TN 37821-3126
Phone
(423) 623-3456
Fax
(423) 623-3049
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Michael Moser
Title
Operations Manager
Phone
(423) 623-3456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000001238 TN Primary

Addresses

Primary practice location

265 E Main St
Newport, TN 37821-3126

Mailing address

265 E Main St
Newport, TN 37821-3126
Phone (423) 623-3456

Other identifiers 1

IdentifierTypeStateIssuer
2095935OtherPK

Other names 2

  • WILSONS SAV-MOR DRUGS Doing business as
  • Wilson's Sav-Mor Drugs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 66.234.94.34 Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180614001032 TN Part B Supplier - Pharmacy 4183851074 Practice locations: Newport, TN

National Provider Directory

National Provider Directory

Locations

265 E Main St
Newport, TN 37821
Phone (423) 623-3456

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1205948213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213126",
            "telephone_number": "423-623-3456",
            "fax_number": "423-623-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213126",
            "telephone_number": "423-623-3456",
            "fax_number": "423-623-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONS SAV-MOR DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "423-623-3456"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095935",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "66.234.94.34",
            "affiliation": "N",
            "endpointDescription": "Fiber IP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "265 E Main St",
            "city": "Newport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378213126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WILSONS SAV-MOR DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson's Sav-Mor Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.