Sevierville Worx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000005729 Issued in TN

Legal business name

SEVIERVILLE WORX LLC

Doing business as

Preferred Pharmacy Sevierville

Practice address

1024 Middle Creek Rd
Sevierville, TN 37862-6921

Phone

(865) 366-1770

Fax

(865) 366-1771

NPI assigned

Jan 27, 2016

Organization subpart

No

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

(865) 366-1770

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Preferred Pharmacy Sevierville Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1740647338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MIDDLE CREEK RD",
            "address_2": "SUITE 1",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626921",
            "telephone_number": "865-366-1770",
            "fax_number": "865-366-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626921",
            "telephone_number": "865-366-1770",
            "fax_number": "865-366-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVIERVILLE WORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "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": "865-366-1770",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000005729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045408",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157245",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "96.38.54.194",
            "affiliation": "N",
            "endpointDescription": "Static IP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1024 Middle Creek Rd",
            "city": "Sevierville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378626921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Preferred Pharmacy Sevierville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Pharmacy Sevierville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sevier County Ambulance Service
• Sevier County Board of Education
• Sevier County Health Care Center, Inc.
• Sevierville Behavioral Health, LLC
• Sevierville Senior Center
• Sevierville Worx LLC
• Shana V. Hamilton-Lockwood, PHD PLLC
• Zachery Sharpston
• Kenneth Neil Shaw, M.D.
• Breonna Nicole Sheets

• Community/Retail Pharmacy in Sevierville, TN
• Providers in Sevierville, 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 Nov 10, 2022; 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.