COLLEGE PARK PHARMACY - NPI 1205015328 - Prosthetic/Orthotic Supplier in Morristown, TN

Q: What is College Park Pharmacy's NPI number?

The NPI number for College Park Pharmacy is 1205015328. It was assigned to this organization in the NPPES registry on October 25, 2007.

Q: What is College Park Pharmacy's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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About College Park Pharmacy NPPES

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

COLLEGE PARK PHARMACY (NPI 1205015328) is a healthcare organization registered as a prosthetic/orthotic supplier in Morristown, Tennessee and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Joseph T Huntsman, Owner, as its authorized official.

NPPES Registry Identity

NPI1205015328

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameCOLLEGE PARK PHARMACY

Location Address2106 E ANDREW JOHNSON HWYMorristown, TN 37814-5412

Mailing Address2106 E Andrew Johnson HwyMorristown, TN 37814-5412 · (423) 586-0721 · Fax (423) 587-5419

Phone(423) 586-0721

Fax(423) 587-5419

Organization SubpartNo

Authorized OfficialJoseph T HuntsmanOwner · (423) 586-0721

Enumeration DateOctober 25, 2007

✔ NPI 1205015328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

2106 E ANDREW JOHNSON HWY, Morristown, TN 37814

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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 44D2134389

College Park Pharmacy · Morristown, TN

Active · expires Jul 31, 2027

CLIA Number44D2134389

Laboratory TypePrison

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorChad B. Huntsman

Laboratory Phone(423) 586-0721

Laboratory LocationCollege Park Pharmacy2106 East Andrew Johnson Hwy, Morristown, TN 37814

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

JJ BEANS LLC

Pharmacy (Long Term Care Pharmacy)