MOUSE CREEK PHARMACY
NPI 1699271999
Pharmacy - Community/Retail Pharmacy in Cleveland, TN

Active since April 04, 2018CLIA 44D2186201 · Waiver
570 PAUL HUFF PKWY NW, CLEVELAND, TN 37312(423) 790-0443(423) 790-0567 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2022, Jul 27, 2018 (2 updates tracked since 2018).

About Mouse Creek Pharmacy NPPES

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

MOUSE CREEK PHARMACY (NPI 1699271999) is a healthcare organization registered as a community/retail pharmacy in Cleveland, Tennessee and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Jason Bradley, Owner, as its authorized official.

NPPES Registry Identity

NPI1699271999
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMCO
Location Address570 PAUL HUFF PKWY NWCleveland, TN 37312-2957
Mailing Address570 Paul Huff Pkwy NwCleveland, TN 37312-2957 · (423) 618-6232 · Fax (423) 618-6232
Fax(423) 790-0567
Organization SubpartNo
Authorized OfficialJason BradleyOwner · (423) 790-0443
Enumeration DateApril 4, 2018
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
NPI 1699271999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TN · 6274
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 ListedPharmacyTaxonomy 333600000X
570 PAUL HUFF PKWY NW, Cleveland, TN 37312

Other Names 1

Doing Business AsMouse Creek Pharmacy

Other Identifiers 2

Other2176846Pk
MedicaidQ038185TN

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 44D2186201

Mouse Creek Pharmacy · Cleveland, TN
Active · expires Jun 14, 2028
CLIA Number44D2186201
Laboratory TypePharmacy
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorJason Bradley
Laboratory Phone(423) 790-0443
Laboratory LocationMouse Creek Pharmacy570 Paul Huff Parkway NW, Cleveland, TN 37312
CLIA data matches this NPI record on: Address Name Phone
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.
45 services43 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.
43 services41 patients

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 Pharmco's NPI number?

The NPI number for Pharmco is 1699271999. It was assigned to this organization in the NPPES registry on April 4, 2018. The provider is doing business as Mouse Creek Pharmacy.

Where is Pharmco located?

Pharmco is located at 570 Paul Huff Pkwy NW, Cleveland, TN 37312. The listed phone number is (423) 790-0443.

What is Pharmco's specialty?

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

Does Pharmco hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2186201) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pharmco 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 Pharmco 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 Pharmco was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.