Organization Active NPI

Value RX Sneedville LLC

  • Pharmacy
  • Sneedville, TN
National Provider Identifier
1225580640
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0000005886 Issued in TN
Legal business name
VALUE RX SNEEDVILLE LLC
Doing business as
Value Rx
Practice address
1400 Main St
Sneedville, TN 37869-3648
Phone
(423) 724-8130
Fax
(423) 724-8544
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Todd Walters
Title
Pharmacist/Member
Phone
(606) 269-2965

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0000005886 TN Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1400 Main St
Sneedville, TN 37869-3648

Mailing address

PO Box 155
Sneedville, TN 37869-0155
Phone (865) 585-8555

Other identifiers 1

IdentifierTypeStateIssuer
2166022OtherPK

Other names 1

  • Value Rx Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229001201 TN Part B Supplier - Pharmacy 5395003040 Practice locations: Sneedville, TN

National Provider Directory

National Provider Directory

Locations

1400 Main St
Sneedville, TN 37869
Phone (423) 724-8130

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": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1225580640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378690155",
            "telephone_number": "865-585-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693648",
            "telephone_number": "423-724-8130",
            "fax_number": "423-724-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE RX SNEEDVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PHARMACIST/MEMBER",
        "authorized_official_telephone_number": "606-269-2965"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000005886",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sneedville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.