Organization Active NPI

Monarch LTC Inc.

  • Long Term Care Pharmacy
  • Greeneville, TN
National Provider Identifier
1407093230
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0000004617 Issued in TN
Legal business name
MONARCH LTC INC.
Practice address
1000 Monarch Pointe
Greeneville, TN 37745-4656
Phone
(423) 630-7030
Fax
(423) 630-7033
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Will Giddings
Title
Owner-President
Phone
(423) 630-7030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 0000004617 TN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1000 Monarch Pointe
Greeneville, TN 37745-4656

Mailing address

P.O. Box 874
Greeneville, TN 37744
Phone (423) 630-7030

Other identifiers 1

IdentifierTypeStateIssuer
2118579OtherPK

Other names 1

  • Corley's Pharmacy Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211116003233 TN Part B Supplier - Pharmacy 5698164465 Practice locations: Greeneville, TN
O20220107002268 TN DME Supplier - Pharmacy 5698164465 Practice locations: Greeneville, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2201961Corley'S Pharmacy Solutions1000 Monarch Pointe, Greeneville, TN 37745Certificate of waiverNov 23, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Monarch LTC Inc1000 Monarch PT, Greeneville, TN 37745-4656(423) 630-7030 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory

Locations

1000 Monarch Pt
Greeneville, TN 37745
Phone (423) 630-7030

1016 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 630-7030

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": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1407093230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 874",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37744",
            "telephone_number": "423-630-7030",
            "fax_number": "423-630-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONARCH POINTE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454656",
            "telephone_number": "423-630-7030",
            "fax_number": "423-630-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH LTC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "GIDDINGS",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "423-630-7030"
    },
    "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": "0000004617",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corley's Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corley's Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.