Organization Active NPI

Wartburg Pharmacy Inc

  • Community/Retail Pharmacy
  • Wartburg, TN
National Provider Identifier
1457423964
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3142 Issued in TN
Legal business name
WARTBURG PHARMACY INC
Practice address
1006 Main St
Wartburg, TN 37887-4150
Phone
(423) 346-2700
Fax
(423) 346-2756
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Jana Gouge
Title
Sec
Phone
(423) 346-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 3142 TN Primary

Addresses

Primary practice location

1006 Main St
Wartburg, TN 37887-4150

Mailing address

PO Box 1036
Wartburg, TN 37887-1036

Other identifiers 2

IdentifierTypeStateIssuer
1452232MedicaidTN
2092156OtherPK

Other names 1

  • WARTBURG PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1457423964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378871036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MAIN ST",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874150",
            "telephone_number": "423-346-2700",
            "fax_number": "423-346-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GOUGE",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "423-346-2700"
    },
    "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": "3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452232",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARTBURG PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wartburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.