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GUARDIAN PHARMACY OF KNOXVILLE LLC NPI 1306283072


NPI Information

NPI: 1306283072
Provider Name: GUARDIAN PHARMACY OF KNOXVILLE LLC

Doing Business As: EAST TENNESSEE PHARMACY SERVICES

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 44D0313168

Address:
431 PARK VILLAGE RD
SUITE 105
KNOXVILLE, TN
ZIP 37923
Phone: (865) 730-4200
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GUARDIAN PHARMACY OF KNOXVILLE LLC is a long term care pharmacy pharmacy in Knoxville, TN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF KNOXVILLE LLC NPI is 1306283072. The provider is registered as an organization entity type.
The provider Is Doing Business As East Tennessee Pharmacy Services.

The provider's business location address is:

431 PARK VILLAGE RD
SUITE 105
KNOXVILLE, TN
ZIP 37923-849
Phone: (865) 730-4200
Fax: (865) 730-4201

The provider's authorized official is David Brown .
The authorized official title is President and has the following contact phone number (931) 684-9987.

The CLIA number assigned to this NPI record is 44D0313168 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 9/30/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy5188TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11306283072MEDICAIDTENNESSEE
21306283072MEDICAIDNEVADA
370100257410MEDICAIDKENTUCKY
47443550001MEDICARE NSC
51306283072MEDICAIDALABAMA
63810030160MEDICAIDWEST VIRGINIA
72140656OTHERPK
81306283072MEDICAIDVIRGINIA
9142751200MEDICAIDWYOMING
10200642900AMEDICAIDOKLAHOMA
117T5188MEDICAIDSOUTH CAROLINA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.