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COMMUNITY PHARMACY
NPI 1174834758
Pharmacy - Community/Retail Pharmacy in Knoxville, TN

Active since June 29, 2010
5821 WALDEN DR, KNOXVILLE, TN 37919(865) 588-0689(865) 588-0680 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Pharmacy NPPES

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

COMMUNITY PHARMACY (NPI 1174834758) is a healthcare organization registered as a community/retail pharmacy in Knoxville, Tennessee and active in the NPI registry since June 2010. The organization lists Scotty Wyatt, Member, as its authorized official.

NPPES Registry Identity

NPI1174834758
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFORMULAB LLC
Location Address5821 WALDEN DRKnoxville, TN 37919-6334
Mailing Address5821 Walden DrKnoxville, TN 37919-6334 · (865) 588-0689 · Fax (865) 588-0680
Phone(865) 588-0689
Fax(865) 588-0680
Organization SubpartNo
Authorized OfficialScotty WyattMember · (865) 588-0689
Enumeration DateJune 29, 2010
Last NPPES UpdateMay 16, 2011
✔ NPI 1174834758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 128
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
5821 WALDEN DR, Knoxville, TN 37919
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Other Names 1

Doing Business AsCommunity Pharmacy

Other Identifiers 1

Other4443420Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 4

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

WALKER & WYATT, LLC
Pharmacy (Community/Retail Pharmacy)
5821 WALDEN DR
KNOXVILLE, TN 37919
Knox County (865) 579-4547
DR. MELANIE WYATT PHARM.D.
Pharmacist
5821 WALDEN DR
KNOXVILLE, TN 37919
Knox County (865) 588-0689
DR. SCOTTY WYATT PHARMD
Pharmacist
5821 WALDEN DR
KNOXVILLE, TN 37919
Knox County (865) 588-0689
DR. ANNE YOUNG THOMAS PHARMD
Pharmacist
5821 WALDEN DR
KNOXVILLE, TN 37919
Knox County (865) 588-0689

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 Formulab LLC's NPI number?

The NPI number for Formulab LLC is 1174834758. It was assigned to this organization in the NPPES registry on June 29, 2010. The provider is doing business as Community Pharmacy.

Where is Formulab LLC located?

Formulab LLC is located at 5821 Walden Dr, Knoxville, TN 37919. The listed phone number is (865) 588-0689.

What is Formulab LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Formulab LLC was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.