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RIVER CITY PHARMACY
NPI 1144747411
Pharmacy - Community/Retail Pharmacy in Ooltewah, TN

Active since August 27, 2017CLIA 44D2146936 · Waiver
5564 LITTLE DEBBIE PKWY, SUITE 102, OOLTEWAH, TN 37363(423) 521-7279(423) 498-2480 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, May 15, 2018, Aug 27, 2017 (3 updates tracked since 2017).

About River City Pharmacy NPPES

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

RIVER CITY PHARMACY (NPI 1144747411) is a healthcare organization registered as a community/retail pharmacy in Ooltewah, Tennessee and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists James Goss, Owner/pic/ao, as its authorized official.

NPPES Registry Identity

NPI1144747411
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIVER CITY PHARMACY INC
Location Address5564 LITTLE DEBBIE PKWY, SUITE 102Ooltewah, TN 37363-4356
Mailing Address5564 Little Debbie Pkwy, Suite 102Ooltewah, TN 37363-4356 · (423) 521-7279 · Fax (423) 498-2480
Phone(423) 521-7279
Fax(423) 498-2480
Organization SubpartNo
Authorized OfficialJames GossOwner/pic/ao · (423) 503-1243
Enumeration DateAugust 27, 2017
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
✔ NPI 1144747411 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 · 6057
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
5564 LITTLE DEBBIE PKWY, Ooltewah, TN 37363
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Other Names 1

Doing Business AsRiver City Pharmacy

Other Identifiers 2

MedicaidQ035490TN
Other2171095Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 44D2146936

River City Pharmacy · Ooltewah, TN
Active · expires Apr 9, 2028
CLIA Number44D2146936
Laboratory TypePharmacy
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorJames W. Goss
Laboratory Phone(423) 521-7279
Laboratory LocationRiver City Pharmacy5564 Little Debbie Parkway Suite 102, Ooltewah, TN 37363
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 2

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.

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.
56 services56 patients
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.
56 services56 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories River City Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

River City Pharmacy Inc

DMEPOS supplier · Ooltewah, TN
⋮

Does not accept Medicare assignment

River City Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20457485
Medicare Participant SinceDecember 14, 2017
Supplier Location5564 Little Debbie Pkwy, Ste 102 River City PharmacyOoltewah, TN 37363
Phone(423) 521-7279
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
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
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
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.

ANGELA D HONACKIE LMT, RYT
Massage Therapist
5564 LITTLE DEBBIE PKWY, SUITE 108
COLLEGEDALE, TN 37363
Hamilton County (423) 498-3400

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 River City Pharmacy Inc's NPI number?

The NPI number for River City Pharmacy Inc is 1144747411. It was assigned to this organization in the NPPES registry on August 27, 2017. The provider is doing business as River City Pharmacy.

Where is River City Pharmacy Inc located?

River City Pharmacy Inc is located at 5564 Little Debbie Pkwy Suite 102, Ooltewah, TN 37363. The listed phone number is (423) 521-7279.

What is River City Pharmacy Inc's specialty?

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

Does River City Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, River City Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does River City Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2146936) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does River City Pharmacy 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 50 other insurers list River City Pharmacy 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 River City Pharmacy Inc was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.