WINDHAM DRUG JELLICO
NPI 1578099016
Pharmacy - Community/Retail Pharmacy in Jellico, TN

Active since May 03, 2017
1184 5TH ST, JELLICO, TN 37762(423) 784-3630 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Windham Drug Jellico NPPES

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

WINDHAM DRUG JELLICO (NPI 1578099016) is a healthcare organization registered as a community/retail pharmacy in Jellico, Tennessee and active in the NPI registry since May 2017. The organization lists Justin Smith, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1578099016
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWINDHAM DRUG JELLICO, INC
Location Address1184 5TH STJellico, TN 37762-2629
Mailing Address1184 5th StJellico, TN 37762-2629 · (423) 784-3630
Organization SubpartNo
Authorized OfficialJustin SmithVice-president · (423) 784-3630
Enumeration DateMay 3, 2017
NPI 1578099016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1184 5TH ST, Jellico, TN 37762

Other Names 1

Doing Business AsWindham Drug Jellico

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Windham Drugs Jellico Inc carries, from the Medicare DMEPOS supplier directory.

Windham Drugs Jellico Inc

DMEPOS supplier · Jellico, TNOperated by Windham Drug Jellico Inc

Does not accept Medicare assignment

Windham Drugs Jellico Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20456225
Medicare Participant SinceFebruary 20, 2018
Supplier Location1184 5th StJellico, TN 37762
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

Pharmacist
1184 5TH ST
JELLICO, TN 37762
Pharmacist
1184 5TH ST
JELLICO, TN 37762

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 Windham Drug Jellico, Inc's NPI number?

The NPI number for Windham Drug Jellico, Inc is 1578099016. It was assigned to this organization in the NPPES registry on May 3, 2017. The provider is doing business as Windham Drug Jellico.

Where is Windham Drug Jellico, Inc located?

Windham Drug Jellico, Inc is located at 1184 5th St, Jellico, TN 37762. The listed phone number is (423) 784-3630.

What is Windham Drug Jellico, Inc's specialty?

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

Does Windham Drug Jellico, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Windham Drugs Jellico Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Windham Drug Jellico, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Windham Drug Jellico, Inc 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 Windham Drug Jellico, Inc was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.