HAZEL GREEN PHARMACY
NPI 1104856459
Pharmacy - Community/Retail Pharmacy in Hazel Green, AL

Active since July 03, 2006CLIA 01D2230004 · Waiver
13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750(256) 813-0150(256) 813-0149 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hazel Green Pharmacy NPPES

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

HAZEL GREEN PHARMACY (NPI 1104856459) is a healthcare organization registered as a community/retail pharmacy in Hazel Green, Alabama and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Chandler Thomas Willingham, Co-owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1104856459
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTENNESSEE VALLEY HEALTHCARE LLC
Location Address13574 HIGHWAY 231 431 N STE BHazel Green, AL 35750-8642
Mailing Address13574 Highway 231 431 N Ste BHazel Green, AL 35750-8642 · (256) 813-0150 · Fax (256) 813-0149
Fax(256) 813-0149
Organization SubpartNo
Authorized OfficialChandler Thomas WillinghamCo-owner/pharmacist · (256) 813-0150
Enumeration DateJuly 3, 2006
Last NPPES UpdateFebruary 24, 2015
NPI 1104856459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in AL · 112435
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.
13574 HIGHWAY 231 431 N STE B, Hazel Green, AL 35750

Other Names 1

Doing Business AsHazel Green Pharmacy

Other Identifiers 3

Medicaid100003533AL
Medicare NSC4917380002AL
Medicaid009996955AL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2230004

Hazel Green Pharmacy · Hazel Green, AL
Active · expires Jul 18, 2027
CLIA Number01D2230004
Laboratory TypePharmacy
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorMichael A. Powers
Laboratory Phone(256) 813-0150
Laboratory LocationHazel Green Pharmacy13574 Hwy 231/431 N Suite B, Hazel Green, AL 35750
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
74 services74 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
70 services70 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Hazel Green Pharmacy carries, from the Medicare DMEPOS supplier directory.

Hazel Green Pharmacy

DMEPOS supplier · Hazel Green, ALOperated by Tennessee Valley Healthcare LLC

Accepts Medicare assignment

Hazel Green Pharmacy 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)20600033
Medicare Participant SinceJune 28, 2003
Supplier Location13574 Highway 231 431 N Ste BHazel Green, AL 35750
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
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 2

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

Pharmacist
13574 HIGHWAY 231 431 N STE B
HAZEL GREEN, AL 35750
Pharmacist
13574 HIGHWAY 231 431 N STE B
HAZEL GREEN, AL 35750

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 Tennessee Valley Healthcare LLC's NPI number?

The NPI number for Tennessee Valley Healthcare LLC is 1104856459. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Hazel Green Pharmacy.

Where is Tennessee Valley Healthcare LLC located?

Tennessee Valley Healthcare LLC is located at 13574 Highway 231 431 N Ste B, Hazel Green, AL 35750. The listed phone number is (256) 813-0150.

What is Tennessee Valley Healthcare LLC's specialty?

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

Does Tennessee Valley Healthcare LLC accept Medicare assignment for medical equipment?

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

Does Tennessee Valley Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2230004) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tennessee Valley Healthcare LLC 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 47 other insurers list Tennessee Valley Healthcare LLC 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 Tennessee Valley Healthcare LLC was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.