State Of Tennessee State F & A Payroll
Pharmacy, Long Term Care Pharmacy in Chattanooga, TN. Organization (NPI-2).
Details
- NPI
- 1104869486
- Entity type
- Organization (NPI-2)
- Legal business name
- State Of Tennessee State F & A Payroll
- Organization subpart
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Oct 14, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | L2(16)M21051098 | TN | Yes |
| 3336I0012X | Pharmacy, Institutional Pharmacy | – | – |
Other names
- Moccasin Bend Mental Health Inst (Doing Business As)
Practice location
100 Moccasin Bend RdChattanooga, TN 37405-4415
Phone 423-785-3321 · Fax 423-785-3454
Mailing address
100 Moccasin Bend RdChattanooga, TN 37405-4415
Phone 423-785-3321 · Fax 423-785-3454
Authorized official
Jason Carter
Chief Of Pharmacy
6155326736
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Long Term Care Pharmacy providers in Chattanooga, TN
- Ab Pharmacies LLCNPI 1093476178
- Access Specialized CareNPI 1225236870
- Genoa Healthcare LLCNPI 1871551440
- Genoa Healthcare LLCNPI 1932463205
- Pulmonaire PharmacyNPI 1386327799
All 6 Long Term Care Pharmacy providers in Chattanooga · All 9,197 providers in Chattanooga
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