Progressive Health Management Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1151 Issued in TN

Legal business name

PROGRESSIVE HEALTH MANAGEMENT INC

Practice address

1787 Veterans Blvd Ste 103
Sevierville, TN 37862-6946

Phone

(865) 453-5160

Fax

(865) 453-1946

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Charles Matt Cox, PHARM. D.

Title

Owner

Phone

(865) 805-3199

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• REAMS 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.

• Ryan Jeffery Flatt, PHARM D

  • Pharmacist
  • Powell, TN
  • NPI 1134241169
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1528098241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD STE 103",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626946",
            "telephone_number": "865-453-5160",
            "fax_number": "865-453-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD STE 103",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626946",
            "telephone_number": "865-453-5160",
            "fax_number": "865-453-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-805-3199",
        "authorized_official_credential": "PHARM.  D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1151",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REAMS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REAMS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Murrell Price, R.N.
• Laura Ashlyn Pridgen
• Alex Christopher Pridmore, PA-C
• Pro Therapy Services of East Tennessee
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• Publix Tennessee, LLC
• Brian Pugh, DO
• John Clarke Rader, DDS
• Jason Lee Ramey, PT, DPT

• All providers in Sevierville, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.