ANTI AGING CONCEPTS, LLC (NPI# 1760528806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760528806 |
| Entity Type | Organization |
| Organization Name | ANTI AGING CONCEPTS, LLC |
| Other Organization Name | PROFESSIONAL PHARMACY SERVICES |
| Practice Address |
1510 Gunbarrel Rd Suite 700 Chattanooga TN 37421-7174 |
| Practice Telephone | 4238928635 |
| Practice Fax Number | 4238928106 |
| Mailing Telephone | 4238928635 |
| Mailing Fax Number | 4238928106 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. GARY RAYFORD KEEL (CHIEF MANAGER) |
| Authorized Official Telephone | 4238928635 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 4141 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4141 | TN | Suppliers |
| Other Name | Type Code |
|---|---|
| Professional Pharmacy Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568508034 | Anti Aging Concepts, LLC | Pharmacy | 1510 Gunbarrel Rd, Suite 700, Chattanooga, TN 37421-7174 | 2007-01-30 |
| Street Address |
1510 GUNBARREL RD SUITE 700 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-7174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194755124 | Sarath Gangavarapu | Psychiatry & Neurology | 1510 Gunbarrel Rd, Suite 120, Chattanooga, TN 37421-7174 | 2006-07-04 |
| 1518201789 | Eric Coleman Wright | Chiropractor | 1510 Gunbarrel Rd, Ste 600, Chattanooga, TN 37421-7174 | 2012-11-12 |
| 1770858193 | Integrated Chiropractic | Chiropractor | 1510 Gunbarrel Rd, Suite 600, Chattanooga, TN 37421-7174 | 2012-03-19 |
| 1548532773 | Doug Stithem | Chiropractor | 1510 Gunbarrel Rd, Suite 600, Chattanooga, TN 37421-7174 | 2012-02-03 |
| 1982989000 | Access Dme Gb | Durable Medical Equipment & Medical Supplies | 1510 Gunbarrel Rd, Ste 700, Chattanooga, TN 37421-7174 | 2011-10-20 |
| 1093911422 | Scenic City Podiatry, Pllc | Podiatrist | 1510 Gunbarrel Rd, Suite 300, Chattanooga, TN 37421-7174 | 2007-06-22 |
| 1568508034 | Anti Aging Concepts, LLC | Pharmacy | 1510 Gunbarrel Rd, Suite 700, Chattanooga, TN 37421-7174 | 2007-01-30 |
| 1568526051 | Loyd William Witherspoon Jr. | Podiatrist | 1510 Gunbarrel Rd, Suite 300, Chattanooga, TN 37421-7174 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522485 | On Site Rx Inc | Pharmacy | 3074 Hickory Valley Rd Bldg 229, Chattanooga, TN 37421-1273 | 2020-03-04 |
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1982952917 | Carestar Pharmacy | Pharmacy | 6106 Shallowford Rd Ste 108, Chattanooga, TN 37421-2280 | 2012-08-23 |
| 1548584634 | Eastside Pharmacy Inc | Pharmacy | 6857 Lee Hwy, Chattanooga, TN 37421-6406 | 2010-03-18 |
| 1538342076 | Ross Enterprise Inc | Pharmacy | 2001 E Third St Suite C, Chattanooga, TN 37404-2610 | 2007-12-06 |
| 1417095407 | Custom Compounding Pharmacy LLC | Pharmacy | 3816 Ringgold Rd, Chattanooga, TN 37412-1640 | 2007-02-02 |
| 1699831966 | Deems S Riddle IIi | Pharmacy | 4335 Ringgold Rd, Chattanooga, TN 37412-2740 | 2006-12-29 |
| 1952496804 | Pulmonaire Service Pharmacy, Inc. | Pharmacy | 821 Mccallie Ave, Chattanooga, TN 37403-2613 | 2006-10-04 |
| 1215030911 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5501 Brainerd Rd, Chattanooga, TN 37411-5309 | 2006-09-07 |
| 1306949003 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5011 State St # A, Chattanooga, TN 37407-3519 | 2006-09-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on ANTI AGING CONCEPTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.