ADAMS PHARMACY
NPI 1457621815
Pharmacy - Community/Retail Pharmacy in Mountain City, TN

Q: What is Adams Pharmacy LLC's NPI number?

The NPI number for Adams Pharmacy LLC is 1457621815. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as Adams Pharmacy.

Q: What is Adams Pharmacy LLC's specialty?

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

Active since January 03, 2012CLIA 44D2172407 · Waiver

851 S SHADY ST, MOUNTAIN CITY, TN 37683(423) 727-1210(423) 727-1368 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Adams Pharmacy NPPES

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

ADAMS PHARMACY (NPI 1457621815) is a healthcare organization registered as a community/retail pharmacy in Mountain City, Tennessee and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Samuel Adams, Owner/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1457621815

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameADAMS PHARMACY LLC

Location Address851 S SHADY STMountain City, TN 37683-1831

Mailing Address851 S Shady StMountain City, TN 37683-1831 · (423) 727-1210

Phone(423) 727-1210

Fax(423) 727-1368

Organization SubpartNo

Authorized OfficialSamuel AdamsOwner/pharmacist In Charge · (423) 727-1210

Enumeration DateJanuary 3, 2012

Last NPPES UpdateOctober 13, 2014

✔ NPI 1457621815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TN · 4975

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.

851 S SHADY ST, Mountain City, TN 37683

Open in Google Maps ↗

Other Names 1

Doing Business AsAdams Pharmacy

Other Identifiers 2

Other4444749Ncpdp Provider Identification Number

Medicare NSC7203750001TN

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 44D2172407

Adams Pharmacy · Mountain City, TN

Active · expires Sep 22, 2027

CLIA Number44D2172407

Laboratory TypePharmacy

Certificate Effective DateSeptember 23, 2025

Certificate Expiration DateSeptember 22, 2027

Laboratory DirectorSamuel B. Adams

Laboratory Phone(423) 727-6230

Laboratory LocationAdams Pharmacy851 S Shady Street, Mountain City, TN 37683

CLIA data matches this NPI record on: Address Name

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.

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.

55 services55 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

44 services44 patients

Leave this field empty

Other Providers at the Same Location NPPES 5

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

JORDAN ROBERTSON PHARMD

Pharmacist