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Guardian Pharmacy Of Knoxville LLC

Pharmacy, Long Term Care Pharmacy in Knoxville, TN. Organization (NPI-2).

NPI number1306283072
StatusActive
Last updated in NPPESSep 30, 2016

Details

NPI
1306283072
Entity type
Organization (NPI-2)
Legal business name
Guardian Pharmacy Of Knoxville LLC
Organization subpart
No
Enumeration date
Jun 4, 2013
Last updated
Sep 30, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
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 codeDescriptionLicenseStatePrimary
3336L0003X Pharmacy, Long Term Care Pharmacy5188TNYes
333600000X Pharmacy––

Other names

  • East Tennessee Pharmacy Services (Doing Business As)

Practice location

431 Park Village Rd
Suite 105
Knoxville, TN 37923-3849

Phone 865-730-4200 · Fax 865-730-4201

Mailing address

Guardian Pharmacy Of Tennessee One Dept 2441
P.O. Box 11407
Birmingham, AL 35246-0001

Phone 404-810-0089 · Fax 404-810-0094

Authorized official

David Brown
President
9316849987

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 Knoxville, TN

All 13 Long Term Care Pharmacy providers in Knoxville · All 17,212 providers in Knoxville

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