Tennessee Valley Healthcare LLC
Organization Active NPI Community/Retail Pharmacy · Athens, AL
NPI 1477568087 · NPPES record last updated Nov 29, 2025
Key facts
- NPI
- 1477568087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 112319 (AL)
- Legal business name
- TENNESSEE VALLEY HEALTHCARE LLC
- Practice address
- 200 W Market St
Athens, AL 35611-2555 - Phone
- (256) 232-3811
- Fax
- (256) 232-2422
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua Campbell
- Title
- Pharmacist/Co-Owner
- Phone
- (256) 232-3811
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 4
-
Joshua Campbell, PHARM.D.
-
Micheal Alan Powers, RPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2318677 | Limestone Drug | Certificate of waiver | Feb 13, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Limestone Drug |
Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029290 | AL | DME Supplier - Pharmacy | 2961619770 | Practice locations: Athens, AL |
| O20210108000415 | AL | Part B Supplier - Pharmacy | 2961619770 | Practice locations: Athens, AL |
National Provider Directory
- Tax ID family
- Hazel Green Pharmacy
Locations
200 W Market St
Athens, AL 35611
Phone (256) 232-3811
13574 Highway 231 431 N
#B
Hazel Green, AL 35750
Phone (256) 813-0150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 112319 | AL | Yes |
Addresses
Primary practice location
200 W Market St
Athens, AL 35611-2555
Mailing address
PO Box 709
Athens, AL 35612-0709
Phone (256) 232-3811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003506 | Medicaid | AL | |
| 1987941 | Other | PK |
Other names
- LIMESTONE DRUG
Other providers in Athens, AL
- Julius Tate
- Trevor Lee Tatum
- Kenyatta Taylor
- Joseph Barrett Teeples
- Bibi Lee Teng
- Margaret Terrell
- Gregory Thackston
- The Coulter Clinic, LLC
- The Foot Group P C
- The Health Care Authority of North Alabama
All providers in Athens, AL · Community/Retail Pharmacy in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.