Preferred Pharmacy Tellico Greens LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00004678 Issued in TN

Legal business name

PREFERRED PHARMACY TELLICO GREENS LLC

Practice address

101 Cheeyo Way Ste a
Loudon, TN 37774-2798

Phone

(865) 458-1113

Fax

(865) 458-1441

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Jeremy GermanNPI 1215242839

Title

Owner/Pharmacist

Phone

(865) 458-1113

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Preferred Pharmacy Tellico Greens LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy D German, PHARM D

  • Pharmacist
  • Hixson, TN
  • NPI 1215242839
  NPD Authorized official
• Zachary Paul Wooldridge, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Alcoa, TN
  • NPI 1407331945
  NPD

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1871726737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHEEYO WAY STE A",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742798",
            "telephone_number": "865-458-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHEEYO WAY STE A",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742798",
            "telephone_number": "865-458-1113",
            "fax_number": "865-458-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PHARMACY TELLICO GREENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "GERMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "865-458-1113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "00004678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Pharmacy Tellico Greens LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bipinchandra M. Patel, MD
• Haley Patterson, DPT
• Peter G. Stimpson MD Faafp PC
• Wynton Phillips
• Physiotherapy Associates Inc
• Mohammad R Rahman, M.D.
• Rbi Wellness Center, LLC
• Megan Reed, PT
• Janice Swanger Reese, OTR/L
• Abby N Regier, DPT

• Community/Retail Pharmacy in Loudon, TN
• Providers in Loudon, 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 Feb 14, 2017; 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.