Pharmacy Home Care Of East Tennessee, Inc
Long Term Care Pharmacy
120 23rd St Nw, Cleveland
Tennessee, 37311-3845
423-790-1221 Pharmacy Home Care Of East Tennessee, Inc is a Long Term Care Pharmacy in Cleveland, Tennessee. It is located at 120 23rd St Nw, Cleveland and it's customer support contact number is 423-790-1221. The authorized person of Pharmacy Home Care Of East Tennessee, Inc is Jeffry H Wolfenden, RPH who is President of the pharmacy and his contact number is 423-790-7336. Pharmacy Home Care Of East Tennessee, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pharmacy Home Care Of East Tennessee, Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Pharmacy Home Care Of East Tennessee, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pharmacy Home Care Of East Tennessee, Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 120 23rd St Nw, Cleveland,
Tennessee, 37311-3845 |
| Phone: | 423-790-1221 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jeffry H Wolfenden |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 423-790-7336 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1710220918 |
| NPI Enumeration Date: | 05 Apr, 2013 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pharmacy Home Care Of East Tennessee, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q032865 | Medicaid | Tennessee | |
| 4445854 | Other | Tennessee | Nabp |
| 5186 | Other | Tennessee | State License Board Of Pharmacy |
Medicare Enrollment:
Pharmacy Home Care Of East Tennessee, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1153628193 | O20160318000979 | Pharmacy Home Care Of East Tennessee, Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2607,
Cleveland, Tennessee |
| Zip: | 37320-2607 |
| Phone Number: | 423-790-7336 |
| Fax Number: | 423-790-7338 |
Patients can reach Pharmacy Home Care Of East Tennessee, Inc at
120 23rd St Nw, Cleveland, Tennessee or can
call on customer care at 423-790-1221.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.