JELLICO DRUG STORE INC
NPI 1093753196
Pharmacy - Community/Retail Pharmacy in Jellico, TN

Active since June 02, 2006
229 S MAIN ST, JELLICO, TN 37762(423) 784-6226(423) 784-2947 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jellico Drug Store Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JELLICO DRUG STORE INC (NPI 1093753196) is a healthcare organization registered as a community/retail pharmacy in Jellico, Tennessee and active in the NPI registry since June 2006. The organization lists John Baird, Owner / Pharmacist / President, as its authorized official.

NPPES Registry Identity

NPI1093753196
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJELLICO DRUG STORE INC
Location Address229 S MAIN STJellico, TN 37762-2018
Mailing Address229 S Main StJellico, TN 37762-2018 · (423) 784-6226 · Fax (423) 784-2947
Fax(423) 784-2947
Organization SubpartNo
Authorized OfficialJohn BairdOwner / Pharmacist / President · (423) 784-6226
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 1, 2015
NPI 1093753196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TN · 472
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
229 S MAIN ST, Jellico, TN 37762

Other Identifiers 2

Medicaid4407210TN
Medicare NSC0910560001

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Jellico Drug Store carries, from the Medicare DMEPOS supplier directory.

Jellico Drug Store

DMEPOS supplier · Jellico, TNOperated by Jellico Drug Store Inc

Accepts Medicare assignment

Jellico Drug Store agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20639141
Medicare Participant SinceJanuary 1, 1998
Supplier Location229 S Main StJellico, TN 37762
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
229 S MAIN ST
JELLICO, TN 37762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jellico Drug Store Inc's NPI number?

The NPI number for Jellico Drug Store Inc is 1093753196. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Jellico Drug Store Inc located?

Jellico Drug Store Inc is located at 229 S Main St, Jellico, TN 37762. The listed phone number is (423) 784-6226.

What is Jellico Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Jellico Drug Store Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jellico Drug Store accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Jellico Drug Store Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Jellico Drug Store Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jellico Drug Store Inc was last updated on September 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.