Organization Active NPI

Blount Discount Pharmacy Inc

Doing business as Blount Discount Pharmacy - West

  • Community/Retail Pharmacy
  • Maryville, TN
National Provider Identifier
1831134972
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3160 Issued in TN
Legal business name
BLOUNT DISCOUNT PHARMACY INC
Doing business as
Blount Discount Pharmacy - West
Practice address
131 Montgomery LN
Maryville, TN 37803-5649
Phone
(865) 681-0520
Fax
(865) 681-8226
NPI assigned
Jun 20, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Amanda OdumNPI 1043612203
Title
President
Phone
(865) 681-0520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Diabetes Educator Registered Nurse 163WD0400X NU
Community/Retail Pharmacy 3336C0003X 3160 TN Primary

Addresses

Primary practice location

131 Montgomery LN
Maryville, TN 37803-5649

Mailing address

131 Montgomery LN
Maryville, TN 37803-5649
Phone (865) 681-0520

Other identifiers 2

IdentifierTypeStateIssuer
1452854MedicaidTN
2092172OtherPK

Other names 1

  • Blount Discount Pharmacy - West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930027042 TN DME Supplier - Pharmacy 5294893830 Practice locations: Maryville, TN
O20151113001515 TN Part B Supplier - Pharmacy 5294893830 3 other NPIs on this enrollment
Practice locations: Alcoa, TN; Maryville, TN
O20220411000348 TN Part B Supplier - Independent Clinical Laboratory 5294893830 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alcoa, TN; Maryville, TN

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2050407Blount Discount Pharmacy-West131 Montgomery Lane, Maryville, TN 37803Certificate of waiverNov 27, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Blount Discount Pharmacy Inc131 Montgomery LN, Maryville, TN 37803-5649(865) 681-0520 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Blount Discount Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

131 Montgomery Ln
Maryville, TN 37803
Phone (865) 304-3070

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1831134972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MONTGOMERY LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035649",
            "telephone_number": "865-681-0520",
            "fax_number": "865-681-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MONTGOMERY LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035649",
            "telephone_number": "865-681-0520",
            "fax_number": "865-681-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNT DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "ODUM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-681-0520"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452854",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blount Discount Pharmacy - West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blount Discount Pharmacy - West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.