Guardian Pharmacy of Knoxville LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

5188 Issued in TN

Legal business name

GUARDIAN PHARMACY OF KNOXVILLE LLC

Doing business as

East Tennessee Pharmacy Services

Practice address

431 Park Village Rd
Suite 105
Knoxville, TN 37923-3849

Phone

(865) 730-4200

Fax

(865) 730-4201

NPI assigned

Jun 4, 2013

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David BrownNPI 1053862557

Title

President

Phone

(931) 684-9987

Specialties & licenses 2

Addresses

Other names 1

• East Tennessee Pharmacy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ocoee Transitional Care Center LLC

  • Skilled Nursing Facility
  • Maryville, TN
  • NPI 1447016019

  Adp of the SNF

  CMS ownership
• Preferred Health Services of Tennessee, Inc.

  dba Oneida Nursing & Rehab Center

  • Skilled Nursing Facility
  • Oneida, TN
  • NPI 1689665796

  Adp of the SNF

  CMS ownership

Practitioners 4

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.

• David Brown

  • Pharmacist
  • Shelbyville, TN
  • NPI 1053862557
  Authorized official Same address or phone
• Robin Anne Garner-Smith, PHARM.D.

  • Geriatric Pharmacist
  • Knoxville, TN
  • NPI 1073510541
  NPD (past)
• Xin Huang

  • Pharmacist
  • Knoxville, TN
  • NPI 1861325912
  NPD (past)
• Karen L Skinner, R.PH.

  • Pharmacist
  • Knoxville, TN
  • NPI 1700926656
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1306283072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF TENNESSEE ONE DEPT 2441",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-810-0089",
            "fax_number": "404-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PARK VILLAGE RD",
            "address_2": "SUITE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233849",
            "telephone_number": "865-730-4200",
            "fax_number": "865-730-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF KNOXVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-684-9987"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "5188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Tennessee Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven N Gruver, DPT
• Amy Leigh Gryder
• Pamela Dorene Gryder, CRNA
• Patricia Ann Grzelak, RN
• Guardian Ambulatory Surgery Center
• Crystal L Gue, M.D.
• Ariane Guerin, MA
• Tabitha Hope Guettler
• Betty Collier Guffey
• Jennifer Guffey, PA-C

• Long Term Care Pharmacy in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Long Term Care Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.