BH SPECIALTY PHARMACY- GVL
NPI 1255919122
Pharmacy in Greeneville, TN
NPI Status: Active since March 31, 2021
Contact Information
1420 TUSCULUM BLVD
GREENEVILLE, TN
ZIP 37745
Phone: (423) 787-5060
Fax: (423) 610-3366
- Organization
- Pharmacy
- Accepts Insurance
- CLIA Number: 44D0028545
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2027
About BH SPECIALTY PHARMACY- GVL
This page provides the complete NPI Profile along with additional information for Bh Specialty Pharmacy- Gvl, a provider established in Greeneville, Tennessee operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1255919122 assigned on March 2021. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bh Specialty Pharmacy- Gvl. The authorized official of this NPI record is Mary Lynn Krutak (Evp/cfo)
- NPI
- 1255919122
- Provider Legal Name
- TAKOMA REGIONAL HOSPITAL INC
- Other Organization Name
- BH SPECIALTY PHARMACY- GVL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1420 TUSCULUM BLVD GREENEVILLE, TN 37745
- Location Phone
- (423) 787-5060
- Location Fax
- (423) 610-3366
- Mailing Address
- 2 PROFESSIONAL PARK DR STE 15 JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 434-7443
- Mailing Fax
- (423) 610-3366
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2021
- Last Update Date
- 08-12-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336S0011X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3370042 | MEDICAID (05) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0028545
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2025
- Certificate Expiration Date
- November 30, 2027
- Laboratory Director
- DR. ROBERT L. SCHMADEKA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bh Specialty Pharmacy- Gvl on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255919122, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255919122, enumerated as an "organization" on March 31, 2021.
The provider is located at 1420 TUSCULUM BLVD GREENEVILLE, TN 37745 and the phone number is (423) 787-5060.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
