JOHN SMITH PROFESSIONAL PHARMACY, INC.
NPI 1669412144
Pharmacy - Long Term Care Pharmacy in Crossville, TN

Q: What is John Smith Professional Pharmacy, Inc.'s specialty?

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

Active since June 07, 2006

100 LANTANA RD, STE. 201, CROSSVILLE, TN 38555(931) 484-1434(931) 456-2853 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Smith Professional Pharmacy, Inc. NPPES

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

JOHN SMITH PROFESSIONAL PHARMACY, INC. (NPI 1669412144) is a healthcare organization registered as a long term care pharmacy in Crossville, Tennessee and active in the NPI registry since June 2006. The organization lists Vicki S Upchurch, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1669412144

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameJOHN SMITH PROFESSIONAL PHARMACY, INC.

Location Address100 LANTANA RD, STE. 201Crossville, TN 38555-1903

Mailing Address100 Lantana Rd, Ste. 201Crossville, TN 38555-1903 · (931) 484-1434 · Fax (931) 456-2853

Phone(931) 484-1434

Fax(931) 456-2853

Organization SubpartNo

Authorized OfficialVicki S UpchurchPharmacist/owner · (931) 484-1434

Enumeration DateJune 7, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1669412144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in TN · 60

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.

100 LANTANA RD, Crossville, TN 38555

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Other Identifiers 2

Medicaid3513437TN

Other4405797TN · Nabp

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 ›

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.

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

18 services18 patients

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.

18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories John Smith Professional Pharmacy In carries, from the Medicare DMEPOS supplier directory.

John Smith Professional Pharmacy In

DMEPOS supplier · Crossville, TNOperated by John Smith Professional Pharmacy, Inc.

✔

Accepts Medicare assignment

John Smith Professional Pharmacy In agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20420003

Medicare Participant SinceSeptember 4, 2019

Supplier Location100 Lantana Rd Ste 201Crossville, TN 38555

Phone(931) 484-1434

Supplier Specialties

Medical Supply Company Other Certified Other MSC With Orthotic Personnel MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic Orthotic Personnel Prosthetic Personnel Pharmacy

Medicare Product Categories

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

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

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 13

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

MR. BRUCE CORWYN RAFFEL MD

Surgery (Plastic and Reconstructive Surgery)