SC PHARMACY LLC (NPI# 1821645201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821645201 |
| Entity Type | Organization |
| Organization Name | SC PHARMACY LLC |
| Practice Address |
171 Clinton Ave Spring City TN 37381-4037 |
| Mailing Address |
Po Box 515 Spring City TN 37381-0515 |
| Practice Telephone | 4233656351 |
| Practice Fax Number | 4233654877 |
| Mailing Telephone | 4233656351 |
| Mailing Fax Number | 4233654877 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | JONATHAN SETH ZIMMERMAN (OWNER/PHARMACIST) |
| Authorized Official Telephone | 4233656351 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Spring City Pharmacy | Doing Business As Name - Organization |
| Street Address |
171 CLINTON AVE |
| City | SPRING CITY |
| State | TN |
| Zip Code | 37381-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255344560 | Spring City Pharmacy Inc | Pharmacy | 171 Clinton Ave, Spring City, TN 37381 | 2006-08-15 |
| 1538518352 | Jessica Renee Gunther | Pharmacist | 171 Clinton Ave, Spring City, TN 37381-4037 | 2016-06-13 |
| 1578912382 | Jonathan Seth Zimmerman | Pharmacist | 171 Clinton Ave, Spring City, TN 37381-4037 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480761 | Stephen Levi Moffett | Specialist/Technologist | 5199 Wolf Creek Rd., Spring City, TN 37381 | 2019-08-01 |
| 1689613978 | Jimmy D Tutor | Pharmacist | Spring City Pharmacy Inc 141 East Clinton Ave, Unit 4, Spring City, TN 37381 | 2006-06-05 |
| 1457489080 | Rhonda S Gross | Technician/Technologist | 473 Front St, Spring City, TN 37381 | 2007-03-02 |
| 1538279302 | Bertram Edward Lenoir IIi | Dentist | 207 W Rhoa Ave, Spring City, TN 37381-0399 | 2006-08-30 |
| 1053512988 | Amy Elizabeth Fox | Occupational Therapist | 269 Creek Rd, Spring City, TN 37381-2637 | 2007-05-29 |
| 1558444166 | Stacy J Spurlin | Physical Therapy Assistant | 569 Lakewood Village Rd, Spring City, TN 37381-3712 | 2006-10-24 |
| 1720096159 | Beth Ann Casady | Family Medicine | 225 Clinton Ave, Spring City, TN 37381-4010 | 2006-08-03 |
| 1326379751 | Elizabeth Ann Deleonardis | Physician Assistant | 225 Clinton Ave, Spring City, TN 37381-4010 | 2010-01-25 |
| 1528218146 | Glenda M Keylon | Pharmacist | 141 Clinton Ave Unit 4, Spring City, TN 37381-4037 | 2008-09-19 |
| 1801907605 | Matthew Joseph Miko | Physician Assistant | 830 Pin Hook Rd, Spring City, TN 37381-4703 | 2006-08-31 |
| Find all providers in zip 37381 | ||||
| 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 |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRING CITY |
| Zip Code | 37381 |
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| 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.