SALE CREEK PHARMACY, INC (NPI# 1184977282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184977282 |
| Entity Type | Organization |
| Organization Name | SALE CREEK PHARMACY, INC |
| Other Organization Name | FIRST CARE PHARMACY |
| Practice Address |
14821 Dayton Pike Suite 115 Sale Creek TN 37373 |
| Mailing Address |
Po Box 646 Sale Creek TN 37373-0646 |
| Practice Telephone | 4234869404 |
| Practice Fax Number | 4234869434 |
| Mailing Telephone | 4234869404 |
| Mailing Fax Number | 4234869434 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | JARRETT SWAFFORD (OWNER) |
| Authorized Official Telephone | 4234869404 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| First Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
14821 DAYTON PIKE SUITE 115 |
| City | SALE CREEK |
| State | TN |
| Zip Code | 37373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918878 | Tracey Jolene Jenkins | Nurse Practitioner | 14821 Dayton Pike, Sale Creek, TN 37373-5752 | 2016-08-27 |
| 1457692667 | First Care Family Clinic LLC | Nurse Practitioner | 14821 Dayton Pike, Suite B, Sale Creek, TN 37373 | 2013-03-13 |
| 1386980795 | Julie Elizabeth Carr | Nurse Practitioner | 14821 Dayton Pike, Suite B, Sale Creek, TN 37373-5752 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326534835 | Adriene Petmecky | Counselor | 211 Patterson Rd, Sale Creek, TN 37373 | 2018-07-09 |
| 1710496872 | Robert Lewis Kite | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373 | 2017-09-21 |
| 1023585387 | Tyler Anthony Gunter | Specialist/Technologist | 15376 Panther Ln, Sale Creek, TN 37373-5739 | 2018-10-25 |
| 1730678152 | Independent Physical Therapy | Occupational Therapist | 14821 Dayton Pike Ste D, Sale Creek, TN 37373-5752 | 2018-05-02 |
| 1730605973 | Christa M Byerley | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373-5752 | 2017-08-18 |
| 1386263986 | Krissa M Guess | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373-5752 | 2020-04-13 |
| 1437621141 | Amberly M Bruce | Physical Therapist | 14821 Dayton Pike Ste D, Sale Creek, TN 37373-5752 | 2018-12-19 |
| 1588841928 | Michael Caraccio | Pharmacist | 211 Patterson Rd, Sale Creek, TN 37373-7728 | 2008-01-29 |
| 1124102256 | Monyei Holdings Inc | Pharmacy | 14402 Dayton Pike, Ste C, Sale Creek, TN 37373-7732 | 2006-10-25 |
| 1932449907 | Whitney Lititia Ross | Physician Assistant | 14402 Dayton Pike Ste C, Sale Creek, TN 37373-7823 | 2013-02-27 |
| Find all providers in zip 37373 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091488 | Phipps Pharmacy Inc | Pharmacy | 20190 Main St E, Huntingdon, TN 38344-4119 | 2019-12-23 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1700444163 | Parish Pharmacy Enterprise LLC | Pharmacy | 1162 W Poplar Ave, Collierville, TN 38017-3196 | 2019-05-31 |
| 1538726211 | Airville Pharmacy, LLC | Pharmacy | 1785 Airport Rd Ste A, Gallatin, TN 37066-3740 | 2019-05-29 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1922575315 | The Compounding Lab | Pharmacy | 714 W Market St Ste 101, Johnson City, TN 37604-5483 | 2018-10-24 |
| 1013495472 | Sarjo Pharmacy, Inc. | Pharmacy | 3385 Airways Blvd Ste 217, Memphis, TN 38116-3808 | 2018-07-29 |
| 1518443241 | Jj Beans At Lenox LLC | Pharmacy | 6900 Lenox Village Dr Ste 14, Nashville, TN 37211-7366 | 2018-07-16 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1144747411 | River City Pharmacy Inc | Pharmacy | 5564 Little Debbie Pkwy, Suite 102, Ooltewah, TN 37363-4356 | 2017-08-27 |
| Find all providers with the same taxonomy | ||||
| City | SALE CREEK |
| Zip Code | 37373 |
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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.