Organization Active NPI

Apothecary Inc

Doing business as Val-U-Pharmacy

  • Pharmacist
  • Johnson City, TN
National Provider Identifier
1437169174
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2016 Issued in TN
Legal business name
APOTHECARY INC
Doing business as
Val-U-Pharmacy
Practice address
2811 W Market Street
Ste 5
Johnson City, TN 37604
Phone
(423) 928-8004
Fax
(423) 928-8008
NPI assigned
Aug 8, 2006
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Dr. Younes D Cherkaoui, PHARM D.
Title
President
Phone
(423) 928-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2016 TN Primary

Addresses

Primary practice location

2811 W Market Street
Ste 5
Johnson City, TN 37604

Mailing address

660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone (314) 362-5000

Other identifiers 2

IdentifierTypeStateIssuer
8536112MedicaidVA
3557639MedicaidTN

Other names 1

  • Val-U-Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100524000027 TN Part B Supplier - Mass Immunization (Roster Biller Only) 9931238300 Practice locations: Johnson City, TN
O20100930084749 TN DME Supplier - Pharmacy 9931238300 Practice locations: Johnson City, TN
O20210812000555 TN Part B Supplier - Independent Clinical Laboratory 9931238300 Practice locations: Johnson City, TN

National Provider Directory

National Provider Directory
Tax ID family
Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2811 W Market St
Johnson City, TN 37604
Phone (423) 928-2135

2811 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 928-8004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1437169174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W MARKET STREET",
            "address_2": "STE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-928-8004",
            "fax_number": "423-928-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "CHERKAOUI",
        "authorized_official_first_name": "YOUNES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-928-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "2016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8536112",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3557639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val-U-Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Val-U-Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.