Terrys Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3635 Issued in TN

Legal business name

TERRYS PHARMACY INC

Doing business as

Terrys Pharmacy Jacksboro

Practice address

2715 Jacksboro Pike
Jacksboro, TN 37757-4851

Phone

(423) 563-7455

Fax

(423) 563-7448

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Rissa Pryse, RPH

Title

President

Phone

(423) 562-4928

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• TERRYS PHARMACY JACKSBORO Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Terry's Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • La Follette, TN
  • NPI 1568472439

  5597819904

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Terry's Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • La Follette, TN
  • NPI 1568472439

  O20090819000915

  Same enrollment

Tax ID family

Terry's Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Terry's Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • La Follette, TN
  • NPI 1568472439
  NPD tax ID
• Terry's Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Jacksboro, TN
  • NPI 1982383832
  NPD tax ID
• Terrys Pharmacy Inc

  • Long Term Care Pharmacy
  • La Follette, TN
  • NPI 1578242426
  NPD tax ID

Locations

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.

• Rissa Pryse Tamer, D.PH.

  • Pharmacist
  • Jacksboro, TN
  • NPI 1902822521
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1487670949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377660866",
            "telephone_number": "423-563-7455",
            "fax_number": "423-563-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574851",
            "telephone_number": "423-563-7455",
            "fax_number": "423-563-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "PRYSE",
        "authorized_official_first_name": "RISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-562-4928",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3635",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093165",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3536986",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TERRYS PHARMACY JACKSBORO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda F Tackett, R.N.
• Rissa Pryse Tamer, D.PH.
• Melinda Jane Teague
• Casey Terry
• Terry's Pharmacy, Inc.
• Chelsea M Thacker, PA-C
• Amanda Ashley Thomas, APRN
• Norma B Tidwell, NA
• Timothy M Hall DMD PC
• Valley Medical

• Community/Retail Pharmacy in Jacksboro, TN
• Providers in Jacksboro, 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 Apr 14, 2025; 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.