The Family Wellness Group Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4285 Issued in TN

Legal business name

THE FAMILY WELLNESS GROUP INC.

Doing business as

Tellico Family Wellness Center

Practice address

707 Veterans Memorial Dr
Tellico Plains, TN 37385-4844

Phone

(423) 253-6003

Fax

(423) 253-6888

NPI assigned

Dec 15, 2006

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Carl Miller, PHARM D.NPI 1508970773

Title

Pharmacist

Phone

(423) 253-6003

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tellico Family Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Jason Carl Miller, PHARM D

  • Pharmacist
  • Tellico Plains, TN
  • NPI 1508970773
  NPD Authorized official
• Melissa Boruff, RPH

  • Pharmacist
  • Sweetwater, TN
  • NPI 1033432075
  NPD
• Joseph Stephen Saffles, D.PH.

  • Nutrition Support Pharmacist
  • Sweetwater, TN
  • NPI 1538138045
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1881756658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 VETERANS MEMORIAL DRIVE",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "37385",
            "telephone_number": "423-253-6003",
            "fax_number": "423-253-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 VETERANS MEMORIAL DR",
            "city": "TELLICO PLAINS",
            "state": "TN",
            "postal_code": "373854844",
            "telephone_number": "423-253-6003",
            "fax_number": "423-253-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY WELLNESS GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-253-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4439469",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS IMMUNIZATION ROSTER BILLER",
            "identifier": "103G734608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tellico Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tellico Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Alan Ringenberg, PHARMD
• Alyssa Elaine Rutkiewicz
• Kathy Stockner
• Amber Taylor, PTA
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #07685)
• William S Howard DDS Inc (The Tellico Dentist)
• Robert Bryan Wooldridge, RPH

• Community/Retail Pharmacy in Tellico Plains, TN
• Providers in Tellico Plains, 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 Oct 4, 2023; 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.