Active NPI
Monarch LTC Inc.
- Long Term Care Pharmacy
- Greeneville, TN
National Provider Identifier
1407093230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0000004617
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118579 | Other | PK |
Other names 1
- Corley's Pharmacy Solutions
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2201961 | Corley'S Pharmacy Solutions | Certificate of waiver | Nov 23, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Monarch LTC Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Greeneville, TN
- NPI 1528229564
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.