WBRX, LLC
Organization Active NPI Community/Retail Pharmacy · White Bluff, TN
NPI 1942959655 · NPPES record last updated Oct 26, 2025
Key facts
- NPI
- 1942959655
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- WBRX, LLC
- Practice address
- 4449 Hwy 70 E
White Bluff, TN 37187-9235 - Phone
- (615) 908-6121
- Fax
- (615) 908-6141
- NPI assigned
- Mar 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Brandon Vetter
- Title
- Owner/Pharmacist in Charge
- Phone
- (615) 908-6121
Practitioners 2
-
Paul Harrison Orgain, PHARMD
-
Brandon Vetter, PHARM.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2269002 | White Bluff Pharmacy | Certificate of waiver | Sep 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220718000247 | TN | Part B Supplier - Pharmacy | 2365823770 | Practice locations: White Bluff, TN |
National Provider Directory
Locations
4449 Highway 70 E
White Bluff, TN 37187
Phone (615) 908-6121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4449 Hwy 70 E
White Bluff, TN 37187-9235
Mailing address
131 Hickory Hollow Dr
Dickson, TN 37055-3350
Phone (615) 476-4509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q074776 | Medicaid | TN |
Other names
- White Bluff Pharmacy
Other providers in White Bluff, TN
- State of Tennessee
- Amy Doyle Sullivan
- The Brook Center: Therapy Solutions, LLC
- Millie Tremlett
- Brandon Vetter
- White Bluff Dental
- White Bluff Drug Co
- White Bluff Family Health Care Center Inc
- White Bluff Prescription LLC
- Joseph James Wilkie
All providers in White Bluff, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.