Greene County Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2221 Issued in TN

Legal business name

GREENE COUNTY DRUG STORE LLC

Practice address

906 Tusculum Blvd
Greeneville, TN 37745-4004

Phone

(423) 638-7101

Fax

(423) 638-9105

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Benjie L. Cox, DPHNPI 1215043930

Title

Owner/Pharmacist

Phone

(423) 638-7101

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Benjie Lane Cox, D.PH.

  • Pharmacist
  • Greeneville, TN
  • NPI 1215043930
  NPD Authorized official
• Eugene W Buxton Jr., R.PH.

  • Pharmacist
  • Greeneville, TN
  • NPI 1629188768
  NPD (past)
• Brandon Farmer, PHARM.D.

  • Pharmacist
  • Greeneville, TN
  • NPI 1679923619
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1912930926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454004",
            "telephone_number": "423-638-7101",
            "fax_number": "423-638-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454004",
            "telephone_number": "423-638-7101",
            "fax_number": "423-638-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "BENJIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "423-638-7101",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454457",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Colleen Gow, PSY.D.
• Paul L Gow Jr., BS
• Lindsey R Gray, MSN
• Greater Regional Eye Group
• Katlyn Green
• Greene County Employee Clinic
• Greene County Greeneville Emergency Medical Services
• Greene County Greeneville Emergency Medical Services
• Greene County Health Department
• Greene County Health Department

• Community/Retail Pharmacy in Greeneville, TN
• Providers in Greeneville, 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 9, 2018; 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.