BI-LO PHARMACY (NPI# 1093114043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093114043 |
| Entity Type | Organization |
| Organization Name | BI-LO PHARMACY |
| Practice Address |
9213 Lee Hwy Ooltewah TN 37363-8828 |
| Practice Telephone | 4232385594 |
| Practice Fax Number | 4232384119 |
| Mailing Telephone | 4232385594 |
| Mailing Fax Number | 4232384119 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | MR. MICHAEL BOOTH (PHARMACIST) |
| Authorized Official Telephone | 4235035860 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 34563 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084549 | Bi-lo Pharmacy | Pharmacy | 820 Misson Ridge Road, Rossville, GA 30741 | 2015-02-02 |
| 1679840490 | Bi-lo Pharmacy | Pharmacy | 110 S Highway 52, Moncks Corner, SC 29461-3954 | 2011-11-22 |
| 1104226208 | Bi-lo Pharmacy | Pharmacy | 3715 E North St, Greenville, SC 29615-2302 | 2014-08-26 |
| Street Address |
9213 LEE HWY |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-8828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861655011 | Cynthia Darlene Waldron | Pharmacist | 9213 Lee Hwy, Second Floor, Ooltewah, TN 37363-8828 | 2008-07-08 |
| 1306130554 | Alfred Perry Hegwood | Pharmacist | 9213 Lee Hwy, Ooltewah, TN 37363-8828 | 2011-06-06 |
| 1750691036 | Andrea Nicole Smith | Pharmacist | 9213 Lee Hwy, Ooltewah, TN 37363-8828 | 2010-10-20 |
| 1053621151 | Lisa Harrod | Pharmacist | 9213 Lee Hwy, Ooltewah, TN 37363-8828 | 2010-10-07 |
| 1760705016 | Guerdon Maurice Kopp | Pharmacist | 9213 Lee Hwy, Ooltewah, TN 37363-8828 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548812316 | Courtney H Wright | Pharmacist | 6293 Micasa Ln, Ooltewah, TN 37363-5581 | 2019-07-11 |
| 1609300425 | Nisha Patel | Pharmacist | 9589 Wiltshire Dr, Ooltewah, TN 37363-4934 | 2017-04-18 |
| 1538561329 | John Norris | Pharmacist | 9996 Summer Breeze Dr, Ooltewah, TN 37363-8536 | 2014-09-23 |
| 1790110765 | Jennifer Rose Abbott | Pharmacist | 9415 Apison Pike, Ste 125, Ooltewah, TN 37363-8337 | 2013-09-10 |
| 1417389073 | Jennifer H Dockery | Pharmacist | 7327 Royal Harbour Cir, Ooltewah, TN 37363-9210 | 2013-08-06 |
| 1245511666 | Fred Franklin Ross IIi | Pharmacist | 5310 Kellys Pt, Ooltewah, TN 37363-8892 | 2011-08-30 |
| 1215242615 | Gary Tucker | Pharmacist | 8484 Gypsy Ln, Ooltewah, TN 37363-9127 | 2010-08-10 |
| 1922310168 | James Walter Goss | Pharmacist | 5564 Little Debbie Pkwy Ste 102, Ooltewah, TN 37363-4356 | 2010-07-03 |
| 1861655011 | Cynthia Darlene Waldron | Pharmacist | 9213 Lee Hwy, Second Floor, Ooltewah, TN 37363-8828 | 2008-07-08 |
| 1427257948 | Philip Henri Hopkins Jr. | Pharmacist | 10349 Baker Boy Dr, Ooltewah, TN 37363-5890 | 2007-07-13 |
| Find all providers in OOLTEWAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.