Organization Active NPI

Wilsons Sav-Mor Drugs LLC

  • Long Term Care Pharmacy
  • Newport, TN
National Provider Identifier
1679281505
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WILSONS SAV-MOR DRUGS LLC
Doing business as
Wilson's Sav-Mor Drugs
Practice address
265 E Main St
Newport, TN 37821-3126
Phone
(423) 623-3456
Fax
(423) 623-3049
NPI assigned
Nov 9, 2022
Organization subpart
Yes
Parent organization
423-623-3456As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Robert Wayne Bullington, PHARMD
Title
Owner/President
Phone
(901) 355-5556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

265 E Main St
Newport, TN 37821-3126

Mailing address

265 E Main St
Newport, TN 37821-3126
Phone (423) 623-3456

Other identifiers 1

IdentifierTypeStateIssuer
Q033343MedicaidTN

Other names 1

  • Wilson's Sav-Mor Drugs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 66.234.94.34 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Wilsons Sav-Mor Drugs LLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1679281505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213126",
            "telephone_number": "423-623-3456",
            "fax_number": "423-623-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213126",
            "telephone_number": "423-623-3456",
            "fax_number": "423-623-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONS SAV-MOR DRUGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "423-623-3456",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "BULLINGTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "901-355-5556",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033343",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "66.234.94.34",
            "affiliation": "N",
            "endpointDescription": "Fiber IP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "265 E Main St",
            "city": "Newport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378213126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wilson's Sav-Mor Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson's Sav-Mor Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.