Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHARMACY HOME CARE OF EAST TENNESSEE, INC
NPI 1710220918
Pharmacy - Long Term Care Pharmacy in Cleveland, TN

Q: What is Pharmacy Home Care Of East Tennessee, Inc's specialty?

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

Active since April 05, 2013CLIA 44D2216834 · Waiver

120 23RD ST NW, CLEVELAND, TN 37311(423) 790-1221 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Mar 7, 2023, Jun 9, 2021 and 2 more (5 updates tracked since 2016).

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About Pharmacy Home Care Of East Tennessee, Inc NPPES

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

PHARMACY HOME CARE OF EAST TENNESSEE, INC (NPI 1710220918) is a healthcare organization registered as a long term care pharmacy in Cleveland, Tennessee and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Jeffry H Wolfenden, President, as its authorized official.

NPPES Registry Identity

NPI1710220918

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NamePHARMACY HOME CARE OF EAST TENNESSEE, INC

Location Address120 23RD ST NWCleveland, TN 37311-3845

Mailing AddressPo Box 2607Cleveland, TN 37320-2607 · (423) 790-7336 · Fax (423) 790-7338

Phone(423) 790-1221

Organization SubpartNo

Authorized OfficialJeffry H WolfendenPresident · (423) 790-7336

Enumeration DateApril 5, 2013

Last NPPES UpdateJuly 28, 20265 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1710220918 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.

120 23RD ST NW, Cleveland, TN 37311

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Other Identifiers 3

MedicaidQ032865TN

Other4445854TN · Nabp

Other5186TN · State License Board Of Pharmacy

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 44D2216834

Pharmacy Home Care Of East Tennessee · Cleveland, TN

Active · expires Mar 15, 2027

CLIA Number44D2216834

Laboratory TypePharmacy

Certificate Effective DateMarch 16, 2025

Certificate Expiration DateMarch 15, 2027

Laboratory DirectorJeffry H. Wolfenden

Laboratory Phone(423) 790-7336

Laboratory LocationPharmacy Home Care Of East Tennessee120 23rd Street NW, Cleveland, TN 37311

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 4

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.

140 services140 patients

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.

139 services139 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Other Providers at the Same Location NPPES

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

WINN SMILES CLEVELAND

Dentist

120 23RD ST NW
CLEVELAND, TN 37311

Bradley County (423) 472-6482

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 Pharmacy Home Care Of East Tennessee, Inc's NPI number?

The NPI number for Pharmacy Home Care Of East Tennessee, Inc is 1710220918. It was assigned to this organization in the NPPES registry on April 5, 2013.

Where is Pharmacy Home Care Of East Tennessee, Inc located?

Pharmacy Home Care Of East Tennessee, Inc is located at 120 23rd St NW, Cleveland, TN 37311. The listed phone number is (423) 790-1221.

What is Pharmacy Home Care Of East Tennessee, Inc's specialty?

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

Does Pharmacy Home Care Of East Tennessee, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2216834) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pharmacy Home Care Of East Tennessee, 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 48 other insurers list Pharmacy Home Care Of East Tennessee, 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 Pharmacy Home Care Of East Tennessee, Inc was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.