Organization Active NPI

Optivrx, LLC

  • Specialty Pharmacy
  • Knoxville, TN
National Provider Identifier
1699474320
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
OPTIVRX, LLC
Practice address
1600 Breda Dr FL B
Knoxville, TN 37918-1405
Phone
(865) 500-4987
Fax
(865) 500-3968
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Tracey Leann Hill, CPHT.
Title
Owner
Phone
(865) 206-1550

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Infusion Therapy Clinic/Center 261QI0500X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1600 Breda Dr FL B
Knoxville, TN 37918-1405

Mailing address

1002 Cedar Springs Rd
Athens, TN 37303-4530
Phone (865) 206-1550

Other practice location 1

2008 Chilhowee Medical Park
Maryville, TN 37804-5285
Phone (865) 500-4987

Other practice location 2

657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949
Phone (865) 500-4987

Other practice location 3

2030 Falling Waters Rd Fl 3
Knoxville, TN 37922-5893
Phone (865) 500-4987

Other practice location 4

2004 American Way Ste 115
Kingsport, TN 37660-4673
Phone (865) 500-4987

Other practice location 5

806 E Jackson Blvd Ste 12
Jonesborough, TN 37659-1536
Phone (865) 500-4987

Other identifiers 2

IdentifierTypeStateIssuer
Q082117MedicaidTN
0000007565OtherTNBOARD OF PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230508000918 TN Part B Supplier - Home Infusion Therapy Supplier 1254796675 Practice locations: Knoxville, TN
O20231002002217 TN Part B Supplier - Clinic/Group Practice 1254796675 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesborough, TN; Jefferson City, TN; Maryville, TN; Knoxville, TN; Kingsport, TN

National Provider Directory

National Provider Directory

Locations

806 E Jackson Blvd
Ste 12
Jonesborough, TN 37659
Phone (865) 500-4987

2004 American Way
Ste 115
Kingsport, TN 37660
Phone (423) 246-8840

2030 Falling Waters Rd
Knoxville, TN 37922
Phone (865) 500-4987

1600 Breda Dr
Fl B
Knoxville, TN 37918
Phone (865) 500-4987

2030 Falling Waters Rd
Fl 3
Knoxville, TN 37922
Phone (865) 500-4987

2008 Chilhowee Medical Park
Maryville, TN 37804
Phone (865) 500-4987

Practitioners & affiliated clinicians

Practitioners 3

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1699474320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CEDAR SPRINGS RD",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034530",
            "telephone_number": "865-206-1550",
            "fax_number": "865-500-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BREDA DR FL B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181405",
            "telephone_number": "865-500-4987",
            "fax_number": "865-500-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 Chilhowee Medical Park",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045285",
            "country_code": "US",
            "telephone_number": "865-500-4987",
            "fax_number": "865-500-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 E Broadway Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377604949",
            "country_code": "US",
            "telephone_number": "865-500-4987",
            "fax_number": "865-500-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Falling Waters Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379225893",
            "country_code": "US",
            "telephone_number": "865-500-4987",
            "fax_number": "865-500-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 American Way Ste 115",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604673",
            "country_code": "US",
            "telephone_number": "865-500-4987",
            "fax_number": "865-500-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 E Jackson Blvd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Jonesborough",
            "state": "TN",
            "postal_code": "376591536",
            "country_code": "US",
            "telephone_number": "865-500-4987",
            "fax_number": "865-500-3968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIVRX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-206-1550",
        "authorized_official_credential": "CPHT."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q082117",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "0000007565",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.