Active NPI
Rossville Worx LLC
Doing business as Longley's Pharmacy
- Community/Retail Pharmacy
- Rossville, GA
National Provider Identifier
1235668328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ROSSVILLE WORX LLC
- Doing business as
- Longley's Pharmacy
- Practice address
- 785 Chickamauga Ave
Rossville, GA 30741-1404 - Phone
- (706) 866-1220
- NPI assigned
- Jun 12, 2017
- Last updated
- May 16, 2025
- 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
- Mr. Greg Odell Bohannon
- Title
- President
- Phone
- (423) 309-1517
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
785 Chickamauga Ave
Rossville, GA 30741-1404
Mailing address
785 Chickamauga Ave
Rossville, GA 30741-1404
Phone (706) 866-1220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003200177A | Medicaid | GA | |
| Q032764 | Medicaid | TN |
Other names 1
- LONGLEY'S PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180504000781 | GA | Part B Supplier - Pharmacy | 2466716154 | Practice locations: Rossville, GA |
| O20180831000254 | GA | DME Supplier - Pharmacy | 2466716154 | Practice locations: Rossville, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Longley's 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
- Rossville, GA
- NPI 1821612524
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Rossville, GA
- NPI 1578088977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1235668328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 CHICKAMAUGA AVE",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307411404",
"telephone_number": "706-866-1220",
"fax_number": "706-861-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 CHICKAMAUGA AVE",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307411404",
"telephone_number": "706-866-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSSVILLE WORX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-12",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "BOHANNON",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "ODELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-309-1517",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003200177A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q032764",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LONGLEY'S PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rossville, GA
- Primary Health Care Center of Dade, Inc. (Primary Health Care Rossville Middle School SBHC)
- Quality Living AIDS
- Sybil Rochelle Reddick, MD
- Reset Counseling and Wellness, LLC
- Rocky Top Pharmacy Inc (Longley Pharmacy)
- Rossville Worx LLC
- John Savaiinaea
- Patrick Scheel
- Beatriz Eneida Seales-Tealdi, LCSW
- Madison Smith, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.