Edward Bissell Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EDWARD BISSELL INC

Practice address

524 Andrew Johnson Hwy
Strawberry Plains, TN 37871-1015

Phone

(865) 933-4149

Fax

(865) 933-4037

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Robert Wayne Bullington, PHARMD

Title

Owner/President

Phone

(865) 933-4149

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• East Tennessee Discount Drug Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chase Arms, PHARMD

  • Pharmacist
  • Strawberry Plains, TN
  • NPI 1396292629
  NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1346959525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 ANDREW JOHNSON HWY",
            "city": "STRAWBERRY PLAINS",
            "state": "TN",
            "postal_code": "378711015",
            "telephone_number": "865-933-4149",
            "fax_number": "865-933-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 ANDREW JOHNSON HWY",
            "city": "STRAWBERRY PLAINS",
            "state": "TN",
            "postal_code": "378711015",
            "telephone_number": "865-933-4149",
            "fax_number": "865-933-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BISSELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "BULLINGTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-933-4149",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454935",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "50.243.124.145",
            "affiliation": "N",
            "endpointDescription": "Static IP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "524 Andrew Johnson Hwy",
            "city": "Strawberry Plains",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378711015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Tennessee Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Tennessee Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Joseph Charles, D.D.S.
• Patrick Benjamin Charles, D.D.S.
• Melissa Jane Claiborne, MS, OTR/L
• Kiyomi Lee Miyamoto Duncan, NBC-HWC
• East Tennessee Medical Services LLC
• Edward Bissell Inc
• Angela Gail Hightower, FNP-BC
• His Hands Health Care
• Alyssa Rose Park, PHARMD
• Paige Rayfield

• Long Term Care Pharmacy in Strawberry Plains, TN
• Providers in Strawberry Plains, 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 Jan 9, 2023; 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.