SWEETWATER WORX LLC NPI 1003920091

NPI Information

  • NPI: 1003920091
  • Provider Name: SWEETWATER WORX LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: WIL SAV DRUGS OF SWEETWATER
  • CLIA Number: 44D2143856
  • Address: 800 NEW HIGHWAY 68
    SWEETWATER, TN
    ZIP 37874
  • Phone: (423) 337-9381

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NPI Details

SWEETWATER WORX LLC is a community/retail pharmacy pharmacy in Sweetwater, TN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SWEETWATER WORX LLC NPI is 1003920091. The provider is registered as an organization entity type.
The provider Is Doing Business As Wil Sav Drugs Of Sweetwater.

The provider's business location address is:

800 NEW HIGHWAY 68
SWEETWATER, TN
ZIP 37874-905
Phone: (423) 337-9381
Fax: (423) 337-9382

The provider's authorized official is Jonathan Seth Swainson .
The authorized official title is Pharmacy Manager and has the following contact phone number (423) 472-0656.

The CLIA number assigned to this NPI record is 44D2143856 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy67TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12149002OTHERPK
2Q032421MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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