Eddies Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5003 Issued in TN

Legal business name

EDDIES DRUG STORE LLC

Doing business as

Eddie's Drug Store

Practice address

1240 Fox Meadows Blvd Ste 3
Sevierville, TN 37862-6928

Phone

(865) 286-9079

Fax

(865) 286-9016

NPI assigned

Mar 25, 2012

Organization subpart

No

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

Authorized official

Name

Eddie LewisNPI 1285720136

Title

Owner/Pharmacist in Charge

Phone

(865) 286-9079

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eddie's Drug Store Doing business as

Locations

Practitioners 1

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

• Eddie Lewis, PHARMD.

  • Pharmacist
  • Sevierville, TN
  • NPI 1285720136
  NPD Authorized official

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1417223330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 FOX MEADOWS BLVD",
            "address_2": "STE #3",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626928",
            "telephone_number": "865-286-9079",
            "fax_number": "865-286-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 FOX MEADOWS BLVD STE 3",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626928",
            "telephone_number": "865-286-9079",
            "fax_number": "865-286-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIES DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "865-286-9079"
    },
    "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": "5003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4444953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eddie's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Leroy Dyer, D.D.S.
• East Tennessee Children's Primary Care Center, Inc. (Dolly Parton Children's Hospital Sevierville Pediatrics)
• East Tennessee Oral & Maxillofacial Surgery, PC
• East TN Family Care LLC
• Elizabeth Joy Easton, MS
• Lauren Michelle Edmond, DO
• Joby R. Edmonds, CRNA
• Sarah Edmonds, FNP-C
• Cynthia Eisenberg
• Emily McCarter Elder

• Community/Retail Pharmacy in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.