Riggs Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

593 Issued in TN

Legal business name

RIGGS DRUG STORE

Practice address

502 W Central Ave
La Follette, TN 37766-3400

Phone

(423) 562-5235

Fax

(423) 563-7242

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Robert Fannon, PH.D

Title

President/Pharmacy/Owner

Phone

(423) 562-5235

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RIGGS DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1346251998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377661407",
            "telephone_number": "423-562-5235",
            "fax_number": "423-566-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663400",
            "telephone_number": "423-562-5235",
            "fax_number": "423-563-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGGS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "FANNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACY/OWNER",
        "authorized_official_telephone_number": "423-562-5235",
        "authorized_official_credential": "PH.D"
    },
    "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": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094817",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3518937",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIGGS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revive Primary Care and Medspa PLLC
• Amanda Reynolds, OTA/L
• Jessica Horner Rice
• Jennifer Renee Rich, OTR
• Riggs Drug Co Inc
• Riggs Hospital Supplies Inc
• Jacob Robbins, DO
• Douglas Roberts
• Amanda Robinosn
• Kristine Michelle Rodriguez, DNP, ARNP, FNP-BC

• All providers in La Follette, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.