EAGLE DEN DISCOUNT DRUG, LLC
NPI 1396566238
Pharmacy - Long Term Care Pharmacy in Seymour, TN

Active since October 23, 2024CLIA 44D2323718 · Waiver
11510 CHAPMAN HWY, SEYMOUR, TN 37865(865) 299-4044(865) 299-4046 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Den Discount Drug, Llc NPPES

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

EAGLE DEN DISCOUNT DRUG, LLC (NPI 1396566238), doing business as East Tennessee Discount Drug, is a healthcare organization registered as a long term care pharmacy in Seymour, Tennessee and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Robert Wayne Bullington, President, as its authorized official.

NPPES Registry Identity

NPI1396566238
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEAGLE DEN DISCOUNT DRUG, LLC
Location Address11510 CHAPMAN HWYSeymour, TN 37865-5044
Mailing Address514 Deer Trace WaySeymour, TN 37865-6061 · (901) 355-5556 · Fax (865) 908-8864
Fax(865) 299-4046
Organization SubpartNo
Authorized OfficialRobert Wayne BullingtonPresident · (865) 299-4044
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1396566238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
11510 CHAPMAN HWY, Seymour, TN 37865

Other Names 1

Doing Business AsEast Tennessee Discount Drug

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 44D2323718

Eagle Den Discount Drug · Seymour, TN
Active · expires May 12, 2027
CLIA Number44D2323718
Laboratory TypePharmacy
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorAndrew T. Justice
Laboratory Phone(865) 299-4044
Laboratory LocationEagle Den Discount Drug11510 Chapman Highway, Seymour, TN 37865
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

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

Pharmacy (Community/Retail Pharmacy)
11510 CHAPMAN HWY
SEYMOUR, TN 37865

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 Eagle Den Discount Drug, LLC's NPI number?

The NPI number for Eagle Den Discount Drug, LLC is 1396566238. It was assigned to this organization in the NPPES registry on October 23, 2024. The provider is doing business as East Tennessee Discount Drug.

Where is Eagle Den Discount Drug, LLC located?

Eagle Den Discount Drug, LLC is located at 11510 Chapman Hwy, Seymour, TN 37865. The listed phone number is (865) 299-4044.

What is Eagle Den Discount Drug, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Eagle Den Discount Drug, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2323718) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagle Den Discount Drug, LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list Eagle Den Discount Drug, 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 Eagle Den Discount Drug, LLC was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.